Provider Type Icon

PROMEDICA CENTRAL PHYSICIANS LLC NPI 1073657193


NPI Information

NPI: 1073657193
Provider Name: PROMEDICA CENTRAL PHYSICIANS, LLC

Doing Business As: CHILDREN'S SURGICAL SERVICES OF NORTHWEST OHIO

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
2121 HUGHES DR
SUITE 620
TOLEDO, OH
ZIP 43606
Phone: (419) 291-2126
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0120XSurgeryPediatric SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.