PROMEDICA CENTRAL PHYSICIANS LLC NPI 1073657193

NPI Information

  • NPI: 1073657193
  • Provider Name: PROMEDICA CENTRAL PHYSICIANS, LLC
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S SURGICAL SERVICES OF NORTHWEST OHIO
  • Address: 2121 HUGHES DR
    SUITE 620
    TOLEDO, OH
    ZIP 43606
  • Phone: (419) 291-2126

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NPI Details

PROMEDICA CENTRAL PHYSICIANS, LLC is a pediatric surgery surgery in Toledo, OH. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PROMEDICA CENTRAL PHYSICIANS, LLC NPI is 1073657193. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Surgical Services Of Northwest Ohio.

The provider's business location address is:

2121 HUGHES DR
SUITE 620
TOLEDO, OH
ZIP 43606-845
Phone: (419) 291-2126
Fax: (419) 291-6967

The provider's authorized official is Kenya Dixon .
The authorized official title is Credentialing Assistant and has the following contact phone number (419) 824-7288.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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