PROMEDICA CENTRAL PHYSICIANS, LLC


Address: 1601 Brigham Dr, Suite 250, Perrysburg, OH 43551-7114
Phone: 4198733277

PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1457534356) 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) 1457534356
Entity Type Organization
Organization Name PROMEDICA CENTRAL PHYSICIANS, LLC
Other Organization Name NORTHWEST OHIO ENT CONSULTANTS
Practice Address 1601 Brigham Dr
Suite 250
Perrysburg
OH 43551-7114
Practice Telephone 4198733277
Practice Fax Number 4198725066
Mailing Telephone 4198733277
Mailing Fax Number 4198725066
Enumeration Date 2007-12-13
Last Update Date 2008-10-09
Authorized Official Name AMY BAHNSEN (CREDENTIALING ASSISTANT)
Authorized Official Telephone 4198247334
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology OH Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Northwest Ohio ENT Consultants Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1601 BRIGHAM DR
SUITE 250
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
Find all providers in the same location

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 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023679271 Gustavo Guimaraes Rangel Otolaryngology 5317 Adventure Dr, Dublin, OH 43017-1001 2019-06-27
1891358156 Sarah Christine Nyirjesy Otolaryngology Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 2019-04-22
1215401013 Osup Clinical Physicians, LLC Otolaryngology 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 2019-01-15
1205319423 Fadi Abbass Md Otolaryngology 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 2018-09-13
1033616107 Dr. Scott W. Blumer LLC Otolaryngology 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 2018-04-06
1972959336 Chen Lin Otolaryngology 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 2016-05-04
1679935316 Antoine Eskander Otolaryngology 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 2016-03-22
1841684222 Hayley Lynn Born Otolaryngology 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 2015-03-24
1275943151 Laura Miller Otolaryngology 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 2014-05-01
1194157511 Harvey Thomas Staton Otolaryngology 3115 Henderson Ct, Springfield, OH 45503-1307 2013-08-08
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Competitor

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City PERRYSBURG
Zip Code 43551

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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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