PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1295879716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295879716 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS, LLC |
| Other Organization Name | FADIA ABAZA, MD |
| Practice Address |
650 Beaver Creek Cir Suite 130 Maumee OH 43537-1734 |
| Practice Telephone | 4198916262 |
| Practice Fax Number | 4198931196 |
| Mailing Telephone | 4198916262 |
| Mailing Fax Number | 4198931196 |
| Enumeration Date | 2007-02-17 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fadia Abaza, MD | 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 |
| 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 |
| 1457534356 | Promedica Central Physicians, LLC | Otolaryngology | 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114 | 2007-12-13 |
| Street Address |
650 BEAVER CREEK CIR SUITE 130 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902052 | Abd-el-khalek Elagamy | Pediatrics | 660 Beaver Creek Cir Ste 100, Maumee, OH 43537-1746 | 2017-06-18 |
| 1679901649 | Monclova Road Pediatrics | Pediatrics | 5757 Monclova Rd Ste 10, Maumee, OH 43537-1863 | 2013-10-29 |
| 1043496342 | Fort Morgan Pediatric Clinic PC | Pediatrics | 3564 Deer Creek Dr, Maumee, OH 43537-8979 | 2008-01-16 |
| 1013913243 | Fadia M Abaza | Pediatrics | 1661 Holland Rd, Ste 100, Maumee, OH 43537-4206 | 2005-06-22 |
| 1508861857 | James Jacob Huttner | Pediatrics | 520 W Sophia St, Maumee, OH 43537-1848 | 2005-06-14 |
| 1558917443 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-08-15 |
| 1710531322 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-07-31 |
| 1093100570 | Kathryn Rachel Davis | Pediatrics | 5757 Monclova Rd Ste 10, Maumee, OH 43537 | 2015-04-01 |
| 1982901278 | Ursula Xanthakos | Pediatrics | 6811 Hickory Hill Dr, Maumee, OH 43537-9717 | 2011-02-22 |
| 1588892483 | Jennifer Latrise Mullen | Pediatrics | 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 | 2009-06-30 |
| Find all providers in MAUMEE | ||||
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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.