PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1265576383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265576383 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS, LLC |
| Other Organization Name | PEDIATRIC ORTHOPAEDIC SURGEONS OF TOLEDO |
| Practice Address |
2121 Hughes Dr Suite 980 Toledo OH 43606-3845 |
| Practice Telephone | 4192912345 |
| Practice Fax Number | 4192912249 |
| Mailing Telephone | 4192912345 |
| Mailing Fax Number | 4192912249 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENYA DIXON (CREDENTIALING ASSISTANT) |
| Authorized Official Telephone | 4198247288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Orthopaedic Surgeons of Toledo | 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 |
| 1255612107 | Promedica Central Physicians, LLC | Family Medicine | 2865 N Reynolds Rd, Suite 260, 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 |
| Street Address |
2121 HUGHES DR SUITE 980 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960798 | James W Hunyadi | Specialist | 2121 Hughes Dr, Ste 920, Toledo, OH 43606-5140 | 2005-05-23 |
| 1356940985 | Kristina K Wisner | Respiratory Therapist, Registered | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2020-10-24 |
| 1073989158 | Kelly Thomas | Nurse Practitioner | 2121 Hughes Dr, Suite 640, Toledo, OH 43606-3845 | 2015-08-12 |
| 1134536840 | Jennifer Joan Tillman | Nurse Practitioner | 2121 Hughes Dr, Suite 830, Toledo, OH 43606-3845 | 2014-07-14 |
| 1073853545 | Stacey L Hogan | Physician Assistant | 2121 Hughes Dr, #310, Toledo, OH 43606-3845 | 2013-02-21 |
| 1629357371 | Promedica Central Physicians LLC | Surgery | 2121 Hughes Dr, Suite 710, Toledo, OH 43606-3845 | 2011-08-12 |
| 1538489927 | Sharon Takyiwaa Thomas | Pediatrics | 2121 Hughes Dr, Suite 640, Toledo, OH 43606-3845 | 2010-06-08 |
| 1134451495 | Meghan E Beck | Physician Assistant | 2121 Hughes Dr, Suite 310, Toledo, OH 43606-3845 | 2010-02-11 |
| 1639307085 | Laurie A Boudreaux | Physician Assistant | 2121 Hughes Dr, Suite 310, Toledo, OH 43606-3845 | 2009-06-24 |
| 1659515575 | Adrian Anthony Lewis | Orthopaedic Surgery | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018491 | Pediatric Orthopedic Associates LLC | Orthopaedic Surgery | 7630 Kings Pointe Rd, Toledo, OH 43617-1500 | 2015-03-25 |
| 1659515575 | Adrian Anthony Lewis | Orthopaedic Surgery | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2009-04-22 |
| 1619181559 | Hadeel Abaza | Orthopaedic Surgery | 2121 Hughes Dr, Suite 980, Toledo, OH 43606-3845 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346609740 | Oussama Abousamra | Orthopaedic Surgery | 700 Childrens Dr Ste T2ea2700, Columbus, OH 43205-2664 | 2016-02-15 |
| 1821291576 | Sarah Rose Steward | Orthopaedic Surgery | 3333 W Tech Blvd, Miamisburg, OH 45342-0955 | 2007-06-08 |
| 1962495184 | John R. Kean | Orthopaedic Surgery | 479 Parsons Ave, Columbus, OH 43215-5577 | 2005-08-23 |
| 1902240211 | Craig Aaron Smith | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-04-18 |
| 1518209857 | Reid C Chambers | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-03-25 |
| 1700111887 | Amanda Tencza Whitaker | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2009-10-07 |
| 1356582167 | Pat M Riley Jr. | Orthopaedic Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2009-03-09 |
| 1023276763 | Alvin Christopher Jones | Orthopaedic Surgery | 1 Childrens Plz, Dayton, OH 45404-1873 | 2008-05-29 |
| 1669655650 | Patrick William Whitlock | Orthopaedic Surgery | 3333 Burnet Ave, Ml 2017, Cincinnati, OH 45229-3026 | 2007-12-12 |
| 1477759413 | Moh'd Alfawa'reh | Orthopaedic Surgery | 3333 Burnet Ave, Ml 2017, Cincinnati, OH 45229-3026 | 2007-06-26 |
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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.