PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1255612107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255612107 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS, LLC |
| Other Organization Name | CANTOR & FREEMAN |
| Practice Address |
2865 N Reynolds Rd Suite 260 Toledo OH 43615-2068 |
| Practice Telephone | 4195784280 |
| Practice Fax Number | 4195375684 |
| Mailing Telephone | 4195784280 |
| Mailing Fax Number | 4195375684 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| 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 | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cantor & Freeman | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922142447 | Promedica Central Physicians, LLC | Family Medicine | 1990 County Road U, Metamora, OH 43540-9717 | 2007-02-17 |
| 1295879716 | Promedica Central Physicians, LLC | Pediatrics | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1734 | 2007-02-17 |
| 1356485874 | Promedica Central Physicians, LLC | Family Medicine | 7140 Port Sylvania Dr, Suite 300, Toledo, OH 43617-1176 | 2007-02-17 |
| 1568001352 | Promedica Central Physicians, LLC | Clinic/Center | 1180 N Main St Ste 5, Bowling Green, OH 43402-4932 | 2019-12-27 |
| 1396273405 | Promedica Central Physicians, LLC | Clinic/Center | 3430 Secor Rd Ste 425, Toledo, OH 43606-1547 | 2017-06-02 |
| 1932595428 | Promedica Central Physicians, LLC | Podiatrist | 4888 Whiteford Rd, Toledo, OH 43623-2810 | 2015-04-10 |
| 1699056549 | Promedica Central Physicians, LLC | Psychiatry & Neurology | 5300 Harroun Rd, Suite 202, Sylvania, OH 43560-2182 | 2011-09-06 |
| 1063793917 | Promedica Central Physicians, LLC | Orthopaedic Surgery | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2011-09-06 |
| 1609172493 | Promedica Central Physicians, LLC | Pediatrics | 2142 N Cove Blvd, 5-north Peds, Toledo, OH 43606-3895 | 2011-01-27 |
| 1457534356 | Promedica Central Physicians, LLC | Otolaryngology | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2007-12-13 |
| Street Address |
2865 N REYNOLDS RD SUITE 260 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606109 | Philip T Nelsen | Ophthalmology | 2865 N Reynolds Rd, Suite 230, Toledo, OH 43615-2068 | 2005-06-01 |
| 1679005623 | Alyssa Horne | Family Medicine | 2865 N Reynolds Rd, Toledo, OH 43615-2068 | 2017-03-29 |
| 1467999078 | Joseph Scherger | Physician Assistant | 2865 N Reynolds Rd, Suite A, Toledo, OH 43615-2068 | 2017-01-21 |
| 1366824757 | Jill Anne Kunisch | Nurse Practitioner | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2015-06-23 |
| 1134545437 | Bridget Jurkiewicz | Physician Assistant | 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 | 2014-03-11 |
| 1518390590 | Paige Lichtenberg | Occupational Therapist | 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 | 2013-08-14 |
| 1962777326 | Jeanne-marie Sinnott | Family Medicine | 2865 N Reynolds Rd, Suite 140, Toledo, OH 43615-2068 | 2012-03-19 |
| 1063793917 | Promedica Central Physicians, LLC | Orthopaedic Surgery | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2011-09-06 |
| 1780973180 | Kevin Robert Dankert | Physical Medicine & Rehabilitation | 2865 N Reynolds Rd, Toledo, OH 43615-2068 | 2011-04-06 |
| 1932408515 | Melisa Nika | Ophthalmology | 2865 N Reynolds Rd, Suite 170, Toledo, OH 43615-2068 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
| 1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
| 1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
| 1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
| 1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
| 1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
| 1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
| 1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
| 1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
| Find all providers in zip 43615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1346724184 | Accupuncture Center of Toledo LLC | Family Medicine | 4739 Monroe St Ste B, Toledo, OH 43623-4342 | 2018-09-18 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1659862704 | At Home Physicians Group | Family Medicine | 211 N Reynolds Rd, Toledo, OH 43615-5200 | 2018-05-24 |
| 1538695705 | Tarik Afnoukh | Family Medicine | 3454 Oak Alley Ct Ste 214, Toledo, OH 43606-1370 | 2017-05-10 |
| 1851826671 | Alexander Lapka | Family Medicine | 2865 N Reynolds Rd Ste 170, Toledo, OH 43615-2076 | 2017-04-30 |
| 1689094070 | Shereen Louka | Family Medicine | 2213 Cherry St Unit 1c, Toledo, OH 43608-2603 | 2014-04-23 |
| 1053738096 | Mohammad Alaa Abdulrasool Sr. | Family Medicine | 1425 Oak Hill Ct Apt 36, Toledo, OH 43614-2549 | 2014-03-27 |
| 1619394087 | Karen Striph | Family Medicine | 6846 Cloister Rd, Toledo, OH 43617-2204 | 2014-03-24 |
| 1104262906 | Visiting Medical Specialists of Ohio Inc | Family Medicine | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2013-05-20 |
| Find all providers in TOLEDO | ||||
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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.