PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1962546085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962546085 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS, LLC |
| Other Organization Name | TOLEDO PEDS' |
| Practice Address |
3922 Woodley Rd Suite 100 Toledo OH 43606-1130 |
| Practice Telephone | 4192912121 |
| Practice Fax Number | 4194796017 |
| Mailing Telephone | 4192912121 |
| Mailing Fax Number | 4194796017 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KIMBERLY A GOVAN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4198247221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ========= | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RRMC | CI3157 | 01 |
| OH | AETNA | 5626412 | 01 |
| OH | 0999273 | 05 |
| Other Name | Type Code |
|---|---|
| Toledo Peds' | 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 |
| 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 |
| Street Address |
3922 WOODLEY RD SUITE 100 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848385 | Susan D Clay-hufford | Pediatrics | 3922 Woodley Rd, Ste 100, Toledo, OH 43606-1130 | 2005-08-17 |
| 1063834570 | Terra Zare | Nurse Practitioner | 3922 Woodley Rd, Suite 201, Toledo, OH 43606-1130 | 2014-01-17 |
| 1609031509 | Saud Ahmed Alvi | Internal Medicine | 3922 Woodley Rd, 200, Toledo, OH 43606-1130 | 2008-07-21 |
| 1063691442 | Khalida Durrani Md Inc | Family Medicine | 3922 Woodley Rd, Suite 102, Toledo, OH 43606-1130 | 2007-11-01 |
| 1609094473 | Katherine J Gerlach | Pediatrics | 3922 Woodley Rd, Suite 100, Toledo, OH 43606-1130 | 2007-04-24 |
| 1285729335 | Arthritis Associates of Northwest Ohio Inc | Internal Medicine | 3922 Woodley Rd, Suite 200, Toledo, OH 43606-1130 | 2006-10-04 |
| 1992770739 | Fadhil A Hussein | Internal Medicine | 3922 Woodley Rd, Ste 201, Toledo, OH 43606-1130 | 2006-02-22 |
| 1942275813 | Cardiology Care Associates Inc | Internal Medicine | 3922 Woodley Rd, Ste 201, Toledo, OH 43606-1130 | 2006-02-22 |
| 1396728143 | Michael A Gordon | Internal Medicine | 3922 Woodley Rd, Suite 200, Toledo, OH 43606-1130 | 2005-11-25 |
| 1194708131 | Edward Goldberger | Internal Medicine | 3922 Woodley Rd, Suite 200, Toledo, OH 43606-1130 | 2005-11-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1871013656 | Seyed Sahand Banisadr | Pediatrics | 2109 Hughes Dr Fl E, Toledo, OH 43606-3856 | 2017-06-22 |
| 1407128994 | L Bhandaru Md & S Bhandaru Md Inc | Pediatrics | 2230 Laskey Road, Toledo, OH 43613 | 2012-01-31 |
| 1386948057 | Aruna Matani | Pediatrics | 2923 Tracewood Dr, Toledo, OH 43617-2305 | 2011-01-10 |
| 1215256086 | Rakesh Kumar | Pediatrics | 2121 Hughes Dr Ste 220, Toledo, OH 43606-3845 | 2010-05-19 |
| 1740445105 | Tiffany Lisk | Pediatrics | 2222 Cherry Street, Suite 1100, Toledo, OH 43608 | 2008-07-25 |
| 1114049079 | Twin Oaks Pediatrics | Pediatrics | 3949 Sunforest Ct Ste 203, Toledo, OH 43623-4454 | 2007-04-04 |
| 1235219494 | Joseph W Gray IIi | Pediatrics | 1 Aurora L Gonzalez Dr, Toledo, OH 43609-2783 | 2006-10-16 |
| 1497855571 | Mary Zakelj | Pediatrics | 3900 Sunforest Ct Ste 215, Toledo, OH 43623-4440 | 2006-09-25 |
| 1891718243 | Huiyuan Jiang | Pediatrics | 2222 Cherry St Ste 2600, Toledo, OH 43608 | 2006-07-26 |
| 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.