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PROMEDICA CENTRAL PHYSICIANS NPI 1407996333


NPI Information

NPI: 1407996333
Provider Name: PROMEDICA CENTRAL PHYSICIANS

Doing Business As: TERRY M. GIBBS, D.O.

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 36D2159811

Address:
5308 HARROUN RD
SUITE 175
SYLVANIA, OH
ZIP 43560
Phone: (419) 824-5608
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PROMEDICA CENTRAL PHYSICIANS is an obstetrics gynecology in Sylvania, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROMEDICA CENTRAL PHYSICIANS NPI is 1407996333. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Terry M. Gibbs, D.o..

The provider's business location address is:

5308 HARROUN RD
SUITE 175
SYLVANIA, OH
ZIP 43560-114
Phone: (419) 824-5608
Fax: (419) 885-3686

The provider's authorized official is Amy L Bahnsen .
The authorized official title is Credentialing Supervisor and has the following contact phone number (419) 824-7334.

The CLIA number assigned to this NPI record is 36D2159811 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/21/2022.


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
1207V00000XObstetrics & GynecologyOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140369550006OTHEROHIODMERC

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

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