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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34007277 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PEMDING | 05 | |
| OH | TRICARE | PENDING | 01 |
| OH | AETNA | PENDING | 01 |
| OH | MMOH | PENDING | 01 |
| 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 |
| Street Address |
1601 BRIGHAM DR SUITE 250A |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-7114 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on PROMEDICA CENTRAL PHYSICIANS,LLC.
| 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.