PROMEDICA CENTRAL PHYSICIANS (NPI# 1013289404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013289404 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS |
| Other Organization Name | PATRICK WHITE MD AND JOSE PARODI MD |
| Practice Address |
3909 Woodley Rd Suite 200 Toledo OH 43606-1169 |
| Practice Telephone | 4192916777 |
| Practice Fax Number | 4194805900 |
| Mailing Telephone | 4192916777 |
| Mailing Fax Number | 4194805900 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| 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 | 208600000X | Surgery | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Patrick White MD and Jose Parodi MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649689860 | Promedica Central Physicians | Optometrist | 1 Seagate, Suite 800, Toledo, OH 43604 | 2014-08-13 |
| 1194098566 | Promedica Central Physicians | Urology | 3436 Granite Cir, Toledo, OH 43617-1160 | 2012-02-16 |
| 1588936207 | Promedica Central Physicians | Internal Medicine | 501 Van Buren St, Fostoria, OH 44830-1534 | 2012-01-27 |
| 1568733848 | Promedica Central Physicians | Family Medicine | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2012-01-19 |
| 1679844955 | Promedica Central Physicians | Surgery | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2012-01-19 |
| 1194096693 | Promedica Central Physicians | Internal Medicine | 777 Kimole Ln, Suite 250, Adrian, MI 49221-1478 | 2012-01-16 |
| 1457632309 | Promedica Central Physicians | Psychiatry & Neurology | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2011-09-06 |
| 1891076899 | Promedica Central Physicians | Internal Medicine | 2109 Hughes Dr, Suite 760, Toledo, OH 43606-3856 | 2011-09-02 |
| 1366721920 | Promedica Central Physicians | Surgery | 5308 Harroun Rd, Suite 160, Sylvania, OH 43560-2114 | 2011-08-12 |
| 1952680514 | Promedica Central Physicians | Internal Medicine | 1250 Ralston Ave, Suite 106, Defiance, OH 43512-5311 | 2011-08-12 |
| Street Address |
3909 WOODLEY RD SUITE 200 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970696 | Abdullatif M Nimr | Colon & Rectal Surgery | 3909 Woodley Rd, Ste 800, Toledo, OH 43606-1180 | 2005-05-24 |
| 1881294627 | Angela M White | Counselor | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-10-30 |
| 1205449394 | Marissa Kaitlyn Murray | Counselor | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-08-28 |
| 1770195976 | Karen J Harris | Counselor | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-08-19 |
| 1235748559 | Danielle Kincade | Community Health Worker | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-23 |
| 1144848946 | Timika Luckett | Community Health Worker | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-08 |
| 1972120368 | Alicia Shanti James | Student in an Organized Health Care Education/Training Program | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-01 |
| 1902423304 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-01 |
| 1023635778 | Kayla Lynn Mead | Community Health Worker | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-06-29 |
| 1528684156 | Alicia Chantal Slaughter | Licensed Practical Nurse | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-06-19 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1740710433 | John Leonard Luckoski | Surgery | 3000 Arlington Ave Fl Hall2, Toledo, OH 43614-2595 | 2017-06-14 |
| 1548623556 | Akiko Komura | Surgery | 3000 Arlington Ave # 1095, Toledo, OH 43614-2595 | 2016-03-29 |
| 1780926287 | Mustafa Adnan Al-jubouri | Surgery | 2109 Hughes Dr Ste 220, Toledo, OH 43606-5121 | 2013-03-22 |
| 1720369705 | Ward M Taylor | Surgery | 4117 Partridge Lane, Toledo, OH 43623 | 2011-09-02 |
| 1265753594 | Felix S Boecker | Surgery | 6057 Red Oak Dr, Toledo, OH 43615-1856 | 2010-06-22 |
| 1588624696 | Promedica Central Corporation of Michigan | Surgery | 1 Seagate # 800, Toledo, OH 43604-1558 | 2006-03-23 |
| 1508838913 | Donald B Campbell Md Inc | Surgery | 2109 Hughes, Ste 620, Toledo, OH 43606 | 2006-02-02 |
| 1558362491 | Marwan Ghazoul | Surgery | 2222 Cherry St Ste 1250, Toledo, OH 43608-2687 | 2005-08-02 |
| 1396745410 | Anthony Jay Raimonde | Surgery | 2213 Cherry St Ste Acc 200, Toledo, OH 43608-2603 | 2005-07-29 |
| 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.