PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1114112273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114112273 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS, LLC |
| Other Organization Name | NORTHWEST OHIO ENT CONSULTANTS |
| Practice Address |
1200 Ralston Ave Defiance OH 43512-1396 |
| Practice Telephone | 4197836847 |
| Practice Fax Number | 4197827580 |
| Mailing Telephone | 4197836847 |
| Mailing Fax Number | 4197827580 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-02-18 |
| Authorized Official Name | KIMBERLY GOVAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35.078360 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Ohio ENT Consultants | 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 |
1200 RALSTON AVE |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1407491699 | Kelsi S Belcher | Nurse Anesthetist, Certified Registered | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2019-11-12 |
| 1134607252 | Jessica Lynn Saunders | Nurse Practitioner | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2018-07-31 |
| 1295227619 | Rodrick Maurice Turner | Nurse Anesthetist, Certified Registered | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2018-06-01 |
| 1508377896 | Defiance Hospital Inc. | Advanced Practice Midwife | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2017-10-13 |
| 1306385687 | Danielle Elaine Lange | Advanced Practice Midwife | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2017-02-19 |
| 1285091819 | Tessa Schnipke | Pharmacist | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2016-01-27 |
| 1568845782 | Cathy Jean Rubel | Nurse Practitioner | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2015-07-07 |
| 1043601321 | Sarah Maenle | Speech-Language Pathologist | 1200 Ralston Ave, Total Rehab, Defiance, OH 43512-1396 | 2015-02-09 |
| 1881092443 | Defiance Hospital Inc | Medicare Defined Swing Bed Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2014-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1205319423 | Fadi Abbass Md | Otolaryngology | 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 | 2018-09-13 |
| 1033616107 | Dr. Scott W. Blumer LLC | Otolaryngology | 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 | 2018-04-06 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1841684222 | Hayley Lynn Born | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2015-03-24 |
| 1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| 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.