PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC (NPI# 1285913939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285913939 |
| Entity Type | Organization |
| Organization Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC |
| Practice Address |
1037 Conneaut Ave Suite 202 Bowling Green OH 43402-5301 |
| Practice Telephone | 4193540104 |
| Practice Fax Number | 4193539901 |
| Mailing Telephone | 4193540104 |
| Mailing Fax Number | 4193539901 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730460684 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2751 Bay Park Dr, Suite 305, Oregon, OH 43616-4921 | 2011-09-06 |
| 1467731117 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1476 | 2011-08-12 |
| 1649559394 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2011-08-12 |
| 1902185655 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 715 S Taft Ave, Suite 195, Fremont, OH 43420-3200 | 2011-08-12 |
| 1366721011 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 730 N Macomb St, Suite 429, Monroe, MI 48162-2900 | 2011-08-12 |
| 1720367477 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2702 Navarre Ave, Suite 310, Oregon, OH 43616-3223 | 2011-08-12 |
| 1639458383 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 615 Fulton St, Port Clinton, OH 43452-2001 | 2011-08-12 |
| 1548549298 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2011-08-12 |
| 1457630105 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 734 S Shoop Ave, Suite B, Wauseon, OH 43567-1707 | 2011-08-12 |
| 1811276561 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1600 E Riverview Ave, Napoleon, OH 43545-9805 | 2011-08-12 |
| Street Address |
1037 CONNEAUT AVE SUITE 202 |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225091846 | Dca of Toledo LLC | Clinic/Center | 1037 Conneaut Ave, Bowling Green, OH 43402-5302 | 2006-04-07 |
| 1518319607 | Andrea Rae Barnette | Nurse Practitioner | 1037 Conneaut Ave, Bowling Green, OH 43402-5301 | 2016-07-12 |
| 1134469265 | Evan Keller Martin | Physician Assistant | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2013-02-27 |
| 1790939924 | Cheryl Ann Jacobs | Nurse Practitioner | 1037 Conneaut Ave, Suite 203, Bowling Green, OH 43402-5301 | 2008-11-14 |
| 1538337480 | Dillon Dermatology LLC | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2008-02-13 |
| 1013093574 | William I Dillon | Dermatology | 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 | 2006-10-27 |
| 1851331516 | David Wayne Bell | Family Medicine | 1037 Conneaut Ave, Suite 206, Bowling Green, OH 43402-5301 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1649258088 | Kalidas G Sahetya | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-01-05 |
| 1639177645 | C Fred Gott | Internal Medicine | 191 W Professional Park Ct, Bowling Green, KY 42104 | 2005-07-13 |
| 1124439377 | Richard Pham | Internal Medicine | 250 Park St, Bowling Green, KY 42101 | 2014-05-09 |
| 1326231622 | Muhammad Shoaib Akbar | Internal Medicine | 1325 Andrea St, Ste 207, Bowling Green, KY 42104-5852 | 2007-08-21 |
| 1447459193 | Madhav Lavu | Internal Medicine | 825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 | 2007-07-13 |
| 1598968604 | Beth Ann Bryant M.d. Psc | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2007-06-06 |
| 1790996080 | Mohammad Abdul-waheed | Internal Medicine | 825 2nd Ave, Ste. B1, Bowling Green, KY 42101-1786 | 2007-05-25 |
| 1437188984 | John O Fitts | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2006-06-30 |
| 1861436917 | Beth A. Bryant | Internal Medicine | 1325 Andrea St, Suite 101, Bowling Green, KY 42104-5852 | 2006-06-16 |
| 1215978101 | John O Fitts M.d., Psc | Internal Medicine | 1325 Andrea St, Ste 101, Bowling Green, KY 42104-5852 | 2006-06-09 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC.
| 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.