PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1255792024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255792024 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Other Organization Name | PROMEDICA URGENT CARE |
| Practice Address |
6711 Airport Hwy Holland OH 43528-8104 |
| Practice Telephone | 5675850071 |
| Practice Fax Number | 5677038685 |
| Mailing Telephone | 5675850071 |
| Mailing Fax Number | 5677038685 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | AMY L DWYER (SUPERVISOR) |
| Authorized Official Telephone | 5675851934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ProMedica Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168450 | Promedica Central Physicians LLC | Clinic/Center | 217 Golden Gate Plz, Maumee, OH 43537-2881 | 2017-04-14 |
| 1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
| 1043673700 | Promedica Central Physicians LLC | Clinic/Center | 6755 W Central Ave, Toledo, OH 43617-1109 | 2016-03-31 |
| 1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
| 1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
| 1568842813 | Promedica Central Physicians LLC | Clinic/Center | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 | 2015-06-02 |
| 1962800672 | Promedica Central Physicians LLC | Ophthalmology | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2014-12-11 |
| 1417355223 | Promedica Central Physicians LLC | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2014-12-10 |
| 1023416849 | Promedica Central Physicians LLC | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2014-12-10 |
| 1871912410 | Promedica Central Physicians LLC | Technician/Technologist | 5700 Monroe St, Suite 211, Sylvania, OH 43560-2767 | 2014-04-10 |
| Street Address |
6711 AIRPORT HWY |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658308 | Lisa Gaye Gill | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2005-06-09 |
| 1629619499 | Robert E Hall | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2019-10-03 |
| 1780199984 | Jasmine Vugrinac | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2017-12-10 |
| 1396265732 | Erin Cathleen Simpson | Nurse Practitioner | 6711 Airport Hwy, Holland, OH 43528-8104 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787872 | American Current Care of Ohio Pa Co | Clinic/Center | 7010 Spring Meadows Dr W Ste 101a, Holland, OH 43528-8137 | 2018-10-30 |
| 1417460122 | Toledo Clinic Incorporated | Clinic/Center | 6819 Springvalley Drive, Holland, OH 43528-9487 | 2017-11-16 |
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| 1194326629 | Premier Physicians Centers Inc. | Clinic/Center | 18660 Bagley Rd Ste 101, Middleburg Heights, OH 44130-3483 | 2020-11-02 |
| 1114534005 | Alison Sturgis | Clinic/Center | 272 Cora Dr, Carlisle, OH 45005-3223 | 2020-09-25 |
| 1811508625 | Suhas LLC | Clinic/Center | 9110 Mentor Ave Unit 9b, Mentor, OH 44060-6404 | 2020-08-14 |
| 1215563432 | North High Family & Acute Care, LLC | Clinic/Center | 902 N High St Ste B, Hillsboro, OH 45133-8501 | 2020-03-19 |
| 1558994178 | Artemis Health Services, LLC | Clinic/Center | 3055 Cleveland Ave Ste A, Columbus, OH 43224-3602 | 2020-02-21 |
| 1801428099 | Samaritan Regional Health System | Clinic/Center | 1033 Ashland Rd Ste 173, Mansfield, OH 44905-2156 | 2020-02-06 |
| 1194365932 | Community Urgent Care Plus | Clinic/Center | 5082 Glencrossing Way, Cincinnati, OH 45238-3360 | 2020-01-09 |
| 1710522305 | Arlington Urgent Care Inc | Clinic/Center | 2216 E Main St, Bexley, OH 43209-2319 | 2019-11-07 |
| 1437794021 | Arlington Urgent Care, Inc | Clinic/Center | 2245 W Dublin Granville Rd Ste 101, Columbus, OH 43085-3336 | 2019-11-07 |
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.