PROMEDICA EAST PHYSICIANS, LLC (NPI# 1013043082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013043082 |
| Entity Type | Organization |
| Organization Name | PROMEDICA EAST PHYSICIANS, LLC |
| Other Organization Name | BAY PARK INTERNAL MEDICINE |
| Practice Address |
2751 Bay Park Dr Suite 305 Oregon OH 43616-4921 |
| Practice Telephone | 4196908788 |
| Practice Fax Number | 4196977705 |
| Mailing Telephone | 4196908788 |
| Mailing Fax Number | 4196977705 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | KIMBERLY A GOVAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ========= | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bay Park Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982989513 | Promedica East Physicians, LLC | Family Medicine | 1215 Grassy Ln, Rossford, OH 43460-1525 | 2011-10-14 |
| 1760507305 | Promedica East Physicians, LLC | Anesthesiology | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2007-03-20 |
| 1386770352 | Promedica East Physicians, LLC | Obstetrics & Gynecology | 2751 Bay Park Dr, Suite 302, Oregon, OH 43616-4921 | 2007-02-26 |
| 1659407559 | Promedica East Physicians, LLC | Internal Medicine | 3156 Dustin Rd, Suite 300, Oregon, OH 43616-4342 | 2007-02-26 |
| 1336284991 | Promedica East Physicians, LLC | Family Medicine | 2751 Bay Park Dr, Suite 303, Oregon, OH 43616-4921 | 2007-02-21 |
| 1851436794 | Promedica East Physicians, LLC | Pediatrics | 3156 Dustin Rd, Suite 203, Oregon, OH 43616-4342 | 2007-02-20 |
| Street Address |
2751 BAY PARK DR SUITE 305 |
| City | OREGON |
| State | OH |
| Zip Code | 43616-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484026 | Joseph A Assenmacher | Orthopaedic Surgery | 2751 Bay Park Dr, Ste 201, Oregon, OH 43616-4921 | 2005-06-01 |
| 1811449358 | Chelsea Mae Riley | Registered Nurse | 2751 Bay Park Dr, Suite 300, Oregon, OH 43616-4921 | 2016-11-01 |
| 1669871943 | Jennifer Kay Parkhurst | Nurse Practitioner | 2751 Bay Park Dr, Suite 303, Oregon, OH 43616-4921 | 2014-08-22 |
| 1073921433 | Whitney Reighard | Nurse Practitioner | 2751 Bay Park Dr, Suite 303, Oregon, OH 43616-4921 | 2014-07-30 |
| 1588091599 | Promedica Central Physicians LLC | Colon & Rectal Surgery | 2751 Bay Park Dr, Suite 202, Oregon, OH 43616-4921 | 2013-10-04 |
| 1700225893 | Paul N Elangwe | Family Medicine | 2751 Bay Park Dr, # 302, Oregon, OH 43616-4921 | 2013-06-21 |
| 1063851442 | Lillian S Nagi | Nurse Practitioner | 2751 Bay Park Dr, Suite 100, Oregon, OH 43616-4921 | 2013-06-19 |
| 1730460684 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2751 Bay Park Dr, Suite 305, Oregon, OH 43616-4921 | 2011-09-06 |
| 1225356710 | Eric A Romp | Physician Assistant | 2751 Bay Park Dr, Suite 201, Oregon, OH 43616-4921 | 2010-05-10 |
| 1063605434 | Promedica Orthopedic Physicians | Orthopaedic Surgery | 2751 Bay Park Dr, Suite 201, Oregon, OH 43616-4921 | 2007-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1750564118 | Family Internists of Ohio, Inc. | Internal Medicine | 2739 Navarre Ave Ste 304, Oregon, OH 43616-3277 | 2007-12-07 |
| 1265496038 | Manuel S Bernardo | Internal Medicine | 3515 Navarre Ave, Oregon, OH 43616-3429 | 2006-04-17 |
| 1750351912 | Sydney Oswald Fernandes | Internal Medicine | 1050 Isaacs Streets Drive, Suite No 110, Oregon, OH 43616 | 2006-01-23 |
| 1801891692 | Mohammad A Gad Jr. | Internal Medicine | 2739 Navarre Avenue, Suite 304, Oregon, OH 43616 | 2005-06-17 |
| 1427462209 | Vaishali Sinha | Internal Medicine | 3841 Navarre Ave, Oregon, OH 43616-3435 | 2014-06-19 |
| 1508200668 | Puneet Chopra | Internal Medicine | 3841 Navarre Ave, Oregon, OH 43616-3435 | 2013-04-19 |
| 1124344643 | Manuel S Bernardo M D Inc | Internal Medicine | 3515 Navarre Ave, Oregon, OH 43616-3429 | 2010-04-08 |
| 1659560290 | Nada Taleb | Internal Medicine | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2007-10-19 |
| 1659407559 | Promedica East Physicians, LLC | Internal Medicine | 3156 Dustin Rd, Suite 300, Oregon, OH 43616-4342 | 2007-02-26 |
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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.