PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC NPI 1487781233

NPI Information

NPI: 1487781233
Provider Name: PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
CLIA Number: 36D2009582
Address: 501 VAN BUREN ST
SUITE 206
FOSTORIA, OH
ZIP 44830
Phone: (419) 435-7734

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NPI Details

PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC is a cardiovascular disease internal medicine in Fostoria, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC NPI is 1487781233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 VAN BUREN ST
SUITE 206
FOSTORIA, OH
ZIP 44830-534
Phone: (419) 435-7734
Fax: (419) 436-6623

The provider's authorized official is Amy 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 36D2009582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/12/2011.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	341898679	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CJ9183	OTHER	OHIO	RRMC
2	PR9316167	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	341898679-003	OTHER	OHIO	TRICARE
4	341898679-03	OTHER	OHIO	BWC

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: 3/30/2025

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