Michael M Servoss (NPI# 1124026331, PAC ID# 5799689477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1124026331 |
| PAC ID by PECOS | 5799689477 |
| Professional Enrollment ID | I20040702000797 |
| Full Name | Michael M Servoss |
| Organization Legal Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Address |
650 Beaver Creek Cir Suite 130 Maumee OH 43537-1753 |
| Phone Number | 4198916210 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 1986 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2365348190 |
| Number of Group Practice Members | 653 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 360259 | BAY PARK COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 | 4198916210 | PROMEDICA CENTRAL PHYSICIANS LLC |
| 2801 Bay Park Dr, Oregon, OH 43616-4920 | 4196907709 | PROMEDICA CENTRAL PHYSICIANS LLC |
| 5200 Harroun Rd, Sylvania, OH 43560-2168 | 4198241444 | PROMEDICA CENTRAL PHYSICIANS LLC |
| Organization Legal Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Physicians | 683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marwa El-bohy | Pediatric Medicine | Promedica Central Physicians LLC | 6005 Monclova Rd, Suite 320, Maumee, OH 43537-1862 |
| Holly Hapner | Family Medicine | Promedica Central Physicians LLC | 1601 Brigham Dr, 250a, Perrysburg, OH 43551-7115 |
| Lisa L Bainter | Nurse Practitioner | Promedica Central Physicians LLC | 2109 Hughes Dr, Suite 760, Toledo, OH 43606-5111 |
| Lori Ann Schuh | Neurology | Promedica Central Physicians LLC | 2130 W Central Ave, Toledo, OH 43606-3834 |
| Laura R Rejent | Physician Assistant | Promedica Central Physicians LLC | 5700 Monroe St, Sylvania, OH 43560-2767 |
| Phebe E Shawver | Nurse Practitioner | Promedica Central Physicians LLC | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 |
| Dani Zoorob | Obstetrics/gynecology | Promedica Central Physicians LLC | 501 Van Buren St, Fostoria, OH 44830-1534 |
| Benjamin Assenmacher | Orthopedic Surgery | Promedica Central Physicians LLC | 2751 Bay Park Dr, Suite 201, Oregon, OH 43616-4922 |
| Jordan M Siewert | Family Medicine | Promedica Central Physicians LLC | 217 Golden Gate Plz, Maumee, OH 43537-2881 |
| Alisa Marie Lopez | Nurse Practitioner | Promedica Central Physicians LLC | 5308 Harroun Rd, Suite 180, Sylvania, OH 43560-2193 |
| Street Address |
650 BEAVER CREEK CIR SUITE 130 |
| City | MAUMEE |
| State | OH |
| Zip | 43537-1753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Sean Rae | Internal Medicine | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Ravi Narra | Internal Medicine | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| James J Bomer | Family Medicine | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| James J Case | Critical Care (intensivists) | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Linda M Grover | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Susan B Katsaris-peeps | Certified Registered Nurse Anesthetist (crna) | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Abdul Azim Mustapha | Orthopedic Surgery | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Katie Eileen Machanda | Pediatric Medicine | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Elisha M Stroder | Nurse Practitioner | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Stacey L Hogan | Physician Assistant | Promedica Central Physicians LLC | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1753 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F Wynkoop | Psychologist, Clinical | Po Box, Suite 332, Maumee, OH 43537-0332 | |
| David E Muck | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Luke Amodeo | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Jane A Broering-ammons | Psychiatry | 1627 Henthorne Dr B, Maumee, OH 43537-1370 | |
| Wade L Banker | Interventional Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | |
| Hany J Jacob | Critical Care (intensivists) | 1661 Holland Rd, Suite 300, Maumee, OH 43537-1659 | |
| Rebecca M Burgoon | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Heather L Paulus | Optometry | 1657 Holland Rd, Suite D, Maumee, OH 43537-1661 | |
| Belinda A Heywood | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Erin E Hill | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Find all physicians in zip 43537 | |||
| City | MAUMEE |
| Zip Code | 43537 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MAUMEE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Michael M Servoss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.