PROMEDICA ENT LLC (NPI# 1568771087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568771087 |
| Entity Type | Organization |
| Organization Name | PROMEDICA ENT LLC |
| Practice Address |
5855 Monroe St Sylvania OH 43560-2269 |
| Practice Telephone | 4198247288 |
| Practice Fax Number | 4198247359 |
| Mailing Telephone | 4198247288 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | KENYA I. DIXON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4198247288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
OH | Allopathic & Osteopathic Physicians | |
| Y | 207Y00000X | Otolaryngology | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346529906 | Promedica Ent LLC | Orthopaedic Surgery | 605 3rd Ave, Bldg A Suite A, Fremont, OH 43420-3269 | 2011-08-12 |
| 1023313285 | Promedica Ent LLC | Otolaryngology | 506 Van Buren St, Fostoria, OH 44830-1533 | 2011-01-20 |
| Street Address |
5855 MONROE ST |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355115 | Julie A Tome | Anesthesiology | 5855 Monroe St, Sylvania, OH 43560-2269 | 2005-09-09 |
| 1154930709 | Kendalyn Marie Noe | Physical Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2020-07-29 |
| 1336772896 | Alissa Rose Venia | Occupational Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2020-02-12 |
| 1144871708 | Jennifer Ann Reed | Social Worker | 5855 Monroe St, Sylvania, OH 43560-2269 | 2019-09-25 |
| 1598232316 | Sydney Fields | Physical Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2018-10-30 |
| 1710452099 | Mary Wright | Occupational Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2018-10-12 |
| 1639644008 | Susanna Graham | Occupational Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2018-10-11 |
| 1083189559 | Bradley Wilt | Physical Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2018-10-10 |
| 1134607856 | Bruce Sibbersen | Physical Therapist | 5855 Monroe St, Sylvania, OH 43560-2269 | 2018-08-03 |
| 1184161317 | Jennifer Grant | Nurse Practitioner | 5855 Monroe St, Sylvania, OH 43560 | 2017-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699933903 | William A Johnson Iv | Otolaryngology | 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 | 2008-05-23 |
| 1790829810 | Promedica Central Physicians, LLC | Otolaryngology | 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 | 2007-02-20 |
| 1528060456 | Allan M Rubin | Otolaryngology | 5300 Harroun Rd, Suite 118, Sylvania, OH 43560-2182 | 2005-08-11 |
| 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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| 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.