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PROMEDICA CENTRAL PHYSICIANS LLC NPI 1518202050


NPI Information

NPI: 1518202050
Provider Name: PROMEDICA CENTRAL PHYSICIANS LLC

Doing Business As: PROMEDICA CHILDREN'S SPECIALTIES

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
1912 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-6767
Get Directions

PROMEDICA CENTRAL PHYSICIANS LLC is a pediatric pulmonology pediatrics in Sandusky, OH. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. PROMEDICA CENTRAL PHYSICIANS LLC NPI is 1518202050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Children's Specialties.

The provider's business location address is:

1912 HAYES AVE
SANDUSKY, OH
ZIP 44870-736
Phone: (419) 557-6767
Fax: (419) 557-6783

The provider's authorized official is Kristin Knueven .
The authorized official title is Credentialing Supervisor and has the following contact phone number (567) 585-1969.

The enumeration date for this NPI number is 12/11/2012 and was last updated on 2/5/2021.


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
12080P0203XPediatricsPediatric Critical Care MedicineOHIONo
22080P0214XPediatricsPediatric PulmonologyOHIOYes

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: 11/14/2023

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