PROMEDICA CENTRAL PHYSICIANS (NPI# 1194096693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194096693 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS |
| Other Organization Name | TOLEDO PULMONARY & SLEEP SPECIALISTS |
| Practice Address |
777 Kimole Ln Suite 250 Adrian MI 49221-1478 |
| Practice Telephone | 8885935815 |
| Mailing Telephone | 8885935815 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MI | Allopathic & Osteopathic Physicians | |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Toledo Pulmonary & Sleep Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649689860 | Promedica Central Physicians | Optometrist | 1 Seagate, Suite 800, Toledo, OH 43604 | 2014-08-13 |
| 1194098566 | Promedica Central Physicians | Urology | 3436 Granite Cir, Toledo, OH 43617-1160 | 2012-02-16 |
| 1013289404 | Promedica Central Physicians | Surgery | 3909 Woodley Rd, Suite 200, Toledo, OH 43606-1169 | 2012-02-01 |
| 1588936207 | Promedica Central Physicians | Internal Medicine | 501 Van Buren St, Fostoria, OH 44830-1534 | 2012-01-27 |
| 1568733848 | Promedica Central Physicians | Family Medicine | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2012-01-19 |
| 1679844955 | Promedica Central Physicians | Surgery | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2012-01-19 |
| 1457632309 | Promedica Central Physicians | Psychiatry & Neurology | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2011-09-06 |
| 1891076899 | Promedica Central Physicians | Internal Medicine | 2109 Hughes Dr, Suite 760, Toledo, OH 43606-3856 | 2011-09-02 |
| 1366721920 | Promedica Central Physicians | Surgery | 5308 Harroun Rd, Suite 160, Sylvania, OH 43560-2114 | 2011-08-12 |
| 1952680514 | Promedica Central Physicians | Internal Medicine | 1250 Ralston Ave, Suite 106, Defiance, OH 43512-5311 | 2011-08-12 |
| Street Address |
777 KIMOLE LN SUITE 250 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501138 | Heidi Nichols | Nurse Practitioner | 777 Kimole Ln, Adrian, MI 49221-1478 | 2005-07-12 |
| 1023470614 | Emily Grace Corfman | Speech-Language Pathologist | 777 Kimole Ln, Suite 110, Adrian, MI 49221-1478 | 2016-03-23 |
| 1083098420 | Sarah Farmer | Nurse Practitioner | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2015-07-15 |
| 1376721035 | Konda Bc Mouli, Md PC | Urology | 777 Kimole Ln, Suite 260, Adrian, MI 49221-1478 | 2008-02-05 |
| 1689863391 | Anne Elisabeth Butts | Nurse Practitioner | 777 Kimole Ln, Ste. 260, Adrian, MI 49221-1478 | 2007-10-18 |
| 1285826008 | Annemarie Marwitz Kallenbach | Nurse Practitioner | 777 Kimole Ln, Adrian, MI 49221-1478 | 2007-08-15 |
| 1790812907 | Promedica Corporation of Michigan | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2007-02-27 |
| 1336276542 | Promedica Corporation of Michigan | Otolaryngology | 777 Kimole Ln, Suite 240, Adrian, MI 49221-1478 | 2007-02-27 |
| 1093840381 | Promedica Corporation of Michigan | Surgery | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1478 | 2007-02-23 |
| 1255483038 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 777 Kimole Ln, Suite 130, Adrian, MI 49221-1478 | 2007-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.