PROMEDICA CENTRAL CORPORATION OF MICHIGAN (NPI# 1588624696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588624696 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Practice Address |
1 Seagate # 800 Toledo OH 43604-1558 |
| Practice Telephone | 5675851969 |
| Practice Fax Number | 4198247359 |
| Mailing Telephone | 5675851969 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 5675851969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MI | Allopathic & Osteopathic Physicians | |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MI | Allopathic & Osteopathic Physicians | |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MI | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | MI | Allopathic & Osteopathic Physicians | |
| N | 207Y00000X | Otolaryngology | MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSMI | 500E811000 | 01 |
| MI | BCBSMI | 040D610940 | 01 |
| MI | BCBSMI | 160D610660 | 01 |
| MI | RRMC | CD9268 | 01 |
| MI | BCBSMI | 080E810210 | 01 |
| OH | 2002924 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5855 Monroe St, Sylvania, OH 435602269 | 4198247334 | 4198247359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427609312 | Promedica Central Corporation of Michigan | Clinic/Center | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2019-09-23 |
| 1861958076 | Promedica Central Corporation of Michigan | Podiatrist | 324 E Maumee St, Adrian, MI 49221-2961 | 2019-02-12 |
| Street Address |
1 SEAGATE # 800 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245444959 | Promedica Central Physicians, LLC | Pediatrics | 1 Seagate # 800, Toledo, OH 43604-1558 | 2007-05-10 |
| 1043270150 | Promedica Central Physicians LLC | Ophthalmology | 1 Seagate # 800, Toledo, OH 43604-1558 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1346724184 | Accupuncture Center of Toledo LLC | Family Medicine | 4739 Monroe St Ste B, Toledo, OH 43623-4342 | 2018-09-18 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1659862704 | At Home Physicians Group | Family Medicine | 211 N Reynolds Rd, Toledo, OH 43615-5200 | 2018-05-24 |
| 1538695705 | Tarik Afnoukh | Family Medicine | 3454 Oak Alley Ct Ste 214, Toledo, OH 43606-1370 | 2017-05-10 |
| 1851826671 | Alexander Lapka | Family Medicine | 2865 N Reynolds Rd Ste 170, Toledo, OH 43615-2076 | 2017-04-30 |
| 1689094070 | Shereen Louka | Family Medicine | 2213 Cherry St Unit 1c, Toledo, OH 43608-2603 | 2014-04-23 |
| 1053738096 | Mohammad Alaa Abdulrasool Sr. | Family Medicine | 1425 Oak Hill Ct Apt 36, Toledo, OH 43614-2549 | 2014-03-27 |
| 1619394087 | Karen Striph | Family Medicine | 6846 Cloister Rd, Toledo, OH 43617-2204 | 2014-03-24 |
| 1104262906 | Visiting Medical Specialists of Ohio Inc | Family Medicine | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2013-05-20 |
| Find all providers in TOLEDO | ||||
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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.