PROMEDICA CENTRAL PHYSICIANS,LLC


Address: 1601 Brigham Dr, Suite 250a, Perrysburg, OH 43551-7114
Phone: 4198727760

PROMEDICA CENTRAL PHYSICIANS,LLC (NPI# 1285826156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285826156
Entity Type Organization
Organization Name PROMEDICA CENTRAL PHYSICIANS,LLC
Practice Address 1601 Brigham Dr
Suite 250a
Perrysburg
OH 43551-7114
Practice Telephone 4198727760
Practice Fax Number 4198748657
Mailing Telephone 4198727760
Mailing Fax Number 4198748657
Enumeration Date 2007-08-15
Last Update Date 2007-08-15
Authorized Official Name KIMBERLY GOVAN (CREDENTIALING COORDINATOR)
Authorized Official Telephone 4198247221
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 34007277 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH PEMDING 05
OH TRICARE PENDING 01
OH AETNA PENDING 01
OH MMOH PENDING 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578604872 Promedica Central Physicians,llc Family Medicine 22 Turtle Creek Cir, Suite E, Swanton, OH 43558-8591 2007-02-09
1730371600 Promedica Central Physicians,llc Obstetrics & Gynecology 22 Turtle Creek Cir, Suite E, Swanton, OH 43558-8591 2007-08-15
1548461288 Promedica Central Physicians,llc Pediatrics 2121 Hughes Dr, Suite 640, Toledo, OH 43606-3845 2007-05-30
1629119821 Promedica Central Physicians,llc Family Medicine 5300 Harroun Rd, Suite 201, Sylvania, OH 43560-2182 2007-02-09

Office Location

Street Address 1601 BRIGHAM DR
SUITE 250A
City PERRYSBURG
State OH
Zip Code 43551-7114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194725028 Carolyn Badenhop Nurse Practitioner 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 2005-07-21
1700312162 Robert Witte Physician Assistant 1601 Brigham Dr, #120, Perrysburg, OH 43551-7114 2017-05-04
1902289028 Sara Jean Hunter Nurse Practitioner 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 2015-07-07
1811301310 Kara Lynn Wollenweber Nurse Practitioner 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 2014-06-12
1588091292 Promedica Central Physicians LLC Family Medicine 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 2013-09-27
1467722249 Joelyn M Etgen Nurse Practitioner 1601 Brigham Dr, Perrysburg, OH 43551-7114 2012-01-10
1457632309 Promedica Central Physicians Psychiatry & Neurology 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 2011-09-06
1649583139 Kelley Pruiett Registered Nurse 1601 Brigham Dr, Suite 120, Perrysburg, OH 43551-7114 2010-07-26
1912159625 Kristy M. Marriott-duvall Registered Nurse 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 2008-10-14
1437313244 Jacob N Maciejewski Pediatrics 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 2008-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467067744 Jacob Burmeister Psychologist 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 2020-09-13
1487136727 Urgent Care Travel, Inc Clinic/Center 26415 Warns Road, Lake Township, OH 43551 2018-09-04
1770060527 Marissa Lynn Dukes Nurse Practitioner 3120 Chappel Dr, Perrysburg, OH 43551 2018-07-24
1063999373 Misty Mary Anne Sheeks-mejri Registered Nurse 181 Birchdale Rd, Perrysburg, OH 43551 2018-07-20
1710406160 Daniel Saffo Dentist 27072c Carronade Dr, Perrysburg, OH 43551 2017-09-18
1053835389 Derrick J Erman Pharmacist 10255 Desmond Place, Perrysburg, OH 43551 2017-07-28
1205357167 Angela Elaine Howard Counselor 800 Commerce Dr., Perrysburg, OH 43551 2017-06-30
1306376140 Hannah Sue Neumeyer Counselor 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 2017-06-14
1790132199 Justin Allen Cole Emergency Medicine 10421 Scarlet Oak Dr, Perrysburg, OH 43551 2016-05-16
1750742953 Amy Lynn Graham Nurse Practitioner 27386 Corrondale Dr, Perrysburg, OH 43551 2016-03-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811359326 Rosie Ruoxia Li Obstetrics & Gynecology 5180 Chappel Dr Bldg B, Perrysburg, OH 43551-7288 2016-03-23
1730124942 St Charles Hospital of Oregon Ohio Obstetrics & Gynecology 1021 Sandusky St, Perrysburg, OH 43551-3120 2006-06-19
1720341829 Lauren Scott Obstetrics & Gynecology 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 2012-06-22
1376806976 Lakeya Charron Russell Obstetrics & Gynecology 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 2012-06-19
1083988877 John Russell Roost Obstetrics & Gynecology 1021 Sandusky St, Suite E, Perrysburg, OH 43551-3120 2012-02-27
1588813869 All About Women, Inc Obstetrics & Gynecology 28442 E River Rd, Suite 111, Perrysburg, OH 43551-2795 2008-09-11
1477626034 Richard B. Markwood, Do LLC Obstetrics & Gynecology 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 2006-11-15
1346226198 Richard Bruce Markwood Obstetrics & Gynecology 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 2005-12-22
1740266501 Shannon Renae Sutherland Obstetrics & Gynecology 1103 Village Square Dr, Suite 101, Perrysburg, OH 43551-1783 2005-12-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952917973 Complete Care for Women Obstetrics & Gynecology 99 North Brice Rd, Suite 320, Columbus, OH 43213 2020-09-16
1366086761 Women's Integrative Medicine Obgyn LLC Obstetrics & Gynecology 477 Cooper Rd Ste 320, Westerville, OH 43081-6045 2019-10-30
1700437266 Obstetrics and Gynecology South, Inc Obstetrics & Gynecology 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 2019-09-26
1407414386 Ronald James Thompson Md Obstetrics & Gynecology 2200 Victory Pkwy Apt 1602, Cincinnati, OH 45206-2824 2019-06-05
1043876394 Rachel K Booth Obstetrics & Gynecology 128 E Apple St Ste 3800d, Dayton, OH 45409-2902 2019-05-13
1871060608 Ahmed Shahata Obstetrics & Gynecology Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 2018-10-30
1992204432 Catherine Nowak Obstetrics & Gynecology 1611 S Green Rd Ste 238, South Euclid, OH 44121-4123 2018-02-11
1649786963 Columbus Obstetric and Gynecology Center Obstetrics & Gynecology 340 E Town St Ste 8900, Columbus, OH 43215-4646 2017-12-22
1538673090 Healthy Beginnings Inc Obstetrics & Gynecology 1230 W Kemper Rd, Cincinnati, OH 45240-1618 2017-11-20
1568989762 Women's Health for Life, Inc. Obstetrics & Gynecology 1220 E Elm St Ste 204, Lima, OH 45804-2898 2017-08-28
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Competitor

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City PERRYSBURG
Zip Code 43551

Improve Information

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Dataset Information

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.

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