PROMEDICA ENT LLC (NPI# 1023313285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023313285 |
| Entity Type | Organization |
| Organization Name | PROMEDICA ENT LLC |
| Other Organization Name | BUNGE, ABU-HAMDAN, & BOXWELL |
| Practice Address |
506 Van Buren St Fostoria OH 44830-1533 |
| Practice Telephone | 4194366896 |
| Practice Fax Number | 4194806655 |
| Mailing Telephone | 4194366896 |
| Mailing Fax Number | 4194806655 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | KENYA I. DIXON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4198247288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | OH | Allopathic & Osteopathic Physicians | |
| Y | 231H00000X | Audiologist | OH | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Bunge, Abu-Hamdan, & Boxwell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346529906 | Promedica Ent LLC | Orthopaedic Surgery | 605 3rd Ave, Bldg A Suite A, Fremont, OH 43420-3269 | 2011-08-12 |
| 1568771087 | Promedica Ent LLC | Otolaryngology | 5855 Monroe St, Sylvania, OH 43560-2269 | 2010-10-01 |
| Street Address |
506 VAN BUREN ST |
| City | FOSTORIA |
| State | OH |
| Zip Code | 44830-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437379146 | Kristine M Ruehl | Nurse Practitioner | 506 Van Buren St, Fostoria, OH 44830-1533 | 2007-04-26 |
| 1780729707 | Promedica South Physicians, LLC | Family Medicine | 506 Van Buren St, Fostoria, OH 44830-1533 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260708 | Lauren Hoying | Specialist/Technologist | 10443 W State Route 18, Fostoria, OH 44830 | 2015-11-16 |
| 1841698982 | Jane Volpe | Occupational Therapist | 1309 West Ridge Dr, Fostoria, OH 44830 | 2014-12-05 |
| 1780959916 | Erica Suzanne Depinet | Occupational Therapist | 455 West Fourth St., Suite 010, Fosteria, OH 44830 | 2012-03-21 |
| 1598046716 | Sarah Dannenberger | Nursing Care | 4175 N Us Highway 23, Fostoria, OH 44830 | 2011-09-01 |
| 1982915138 | Jeanne Bohm | Family Medicine | Promedica Fostoria Community Hospital, 501 Van Buren St, Fostoria, OH 44830 | 2010-06-23 |
| 1588709687 | Promedica South Physicians, LLC | Pediatrics | 801 Kirk Street, Suite 3, Fostoria, OH 44830 | 2007-02-20 |
| 1487714606 | Tim Arthur Beidelschies | Family Medicine | 217 N Countyline St, Fostoria, OH 44830 | 2006-12-11 |
| 1396804852 | Steven D Lehmann | Chiropractor | 231 W Tiffin St, Fostoria, OH 44830 | 2006-12-08 |
| 1619064177 | Fostoria Eyecare Inc | Optometrist | 799 N Vine St, Fostoria Eyecare Inc, Fostoria, OH 44830 | 2006-10-06 |
| 1730274945 | Michael D. Hipsher | Optometrist | 622 Parkway Dr., Fostoria, OH 44830 | 2006-10-04 |
| Find all providers in zip 44830 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264222 | Katelyn Nicole Colborn | Audiologist | 4372 Elmhurst Dr, Stow, OH 44224-2761 | 2020-08-06 |
| 1295345528 | Mckenzie L Robinson | Audiologist | 3113 Bellevue Ave Ste 4200, Cincinnati, OH 45219-3286 | 2020-08-02 |
| 1023627692 | Amandas Family Hearing Inc | Audiologist | 1701 Mentor Ave Ste 5, Painesville, OH 44077-1459 | 2020-07-29 |
| 1992323109 | Madeline Marie New | Audiologist | 1932 Niles Cortland Rd Ne Ste H, Warren, OH 44484-1055 | 2020-07-14 |
| 1487279766 | Jodi Lynn Skrovan | Audiologist | 110 N Main St Ste 350, Dayton, OH 45402-3735 | 2020-06-11 |
| 1659995843 | Caroline Jane Mullen | Audiologist | 4100 W 3rd St # 117a, Dayton, OH 45428-9000 | 2020-06-03 |
| 1780220392 | Blossom Hearing Health, LLC | Audiologist | 8805 Blossom Cir Nw, Massillon, OH 44646-1346 | 2019-11-19 |
| 1861047003 | Hearing Connections Audiology LLC | Audiologist | 2072 Stubbs Mill Rd, Lebanon, OH 45036-8703 | 2019-08-05 |
| 1033764287 | Bowyer Audiology | Audiologist | 224 W Lorain St Ste D, Oberlin, OH 44074-1087 | 2019-08-05 |
| 1780243543 | Abigail C Bavaro | Audiologist | 4828 Frank Ave Nw, North Canton, OH 44720-7426 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
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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.