PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1679845390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679845390 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Other Organization Name | JAKE P. HEINEY MD |
| Practice Address |
2109 Hughes Dr Suite 840 Toledo OH 43606-3856 |
| Practice Telephone | 4192915900 |
| Practice Fax Number | 4194806151 |
| Mailing Telephone | 4192915900 |
| Mailing Fax Number | 4194806151 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jake P. Heiney MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168450 | Promedica Central Physicians LLC | Clinic/Center | 217 Golden Gate Plz, Maumee, OH 43537-2881 | 2017-04-14 |
| 1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
| 1043673700 | Promedica Central Physicians LLC | Clinic/Center | 6755 W Central Ave, Toledo, OH 43617-1109 | 2016-03-31 |
| 1255792024 | Promedica Central Physicians LLC | Clinic/Center | 6711 Airport Hwy, Holland, OH 43528-8104 | 2016-03-08 |
| 1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
| 1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
| 1568842813 | Promedica Central Physicians LLC | Clinic/Center | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 | 2015-06-02 |
| 1962800672 | Promedica Central Physicians LLC | Ophthalmology | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2014-12-11 |
| 1417355223 | Promedica Central Physicians LLC | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2014-12-10 |
| 1023416849 | Promedica Central Physicians LLC | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2014-12-10 |
| Street Address |
2109 HUGHES DR SUITE 840 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091687 | Michael G Moront | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2109 Hughes Dr, Ste 720, Toledo, OH 43606-5110 | 2005-05-24 |
| 1235757543 | Chang Woo Park | Pediatrics | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-07-13 |
| 1356966311 | Travis Mazur | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-06-15 |
| 1508487331 | Erica Potts | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Jobst Tower, Floor E, Toledo, OH 43606 | 2020-05-04 |
| 1861011371 | Neetan Dhillon | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-04-14 |
| 1558980318 | Megan M Austin | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Conrad Jobst Tower Floor E, Toledo, OH 43606 | 2020-04-13 |
| 1972132355 | Hannah Ashworth | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-04-07 |
| 1982253597 | Fedor Lurie | Specialist/Technologist, Other | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2019-09-06 |
| 1528628997 | Alexandra Amelia Lekson | Emergency Medicine | 2109 Hughes Dr, Jobst Tower 3rd Floor, Toledo, OH 43606 | 2019-06-18 |
| 1609436377 | Joseph Alecusan | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2019-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1215277801 | Seth Andrew Phillips | Orthopaedic Surgery | 2409 Cherry St Ste 10, Toledo, OH 43608-2625 | 2013-02-19 |
| 1114905338 | George Gabriel Rakolta | Orthopaedic Surgery | 4533 Granville Ct, Toledo, OH 43615-1606 | 2006-01-06 |
| 1639152978 | Kirk R. Davis | Orthopaedic Surgery | 4126 N Holland Sylvania Road, 100, Toledo, OH 43623 | 2005-11-21 |
| 1033672704 | Zachary William Fulton | Orthopaedic Surgery | Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608 | 2019-04-10 |
| 1841752045 | Jae Min Yim | Orthopaedic Surgery | 2409 Cherry St Ste 10, Toledo, OH 43608-2625 | 2019-04-05 |
| 1972988954 | Maged Hanna | Orthopaedic Surgery | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2015-07-20 |
| 1700272648 | Joseph Herron | Orthopaedic Surgery | 3000 Arlington Ave # Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2015-04-07 |
| 1629483391 | Osama Elattar | Orthopaedic Surgery | 1125 Hospital Dr, Toledo, OH 43614-8001 | 2014-06-21 |
| 1003231952 | Jacoby Jacobsen | Orthopaedic Surgery | 2213 Cherry St, Toledo, OH 43608-2603 | 2014-03-02 |
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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.