PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1407299878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407299878 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Other Organization Name | ARUN D MATHUR MD |
| Practice Address |
5308 Harroun Rd Suite 170 Sylvania OH 43560-2114 |
| Practice Telephone | 4198241999 |
| Practice Fax Number | 4198827016 |
| Mailing Telephone | 4198241999 |
| Mailing Fax Number | 4198827016 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| 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 |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OH | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arun D Mathur MD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168450 | Promedica Central Physicians LLC | Clinic/Center | 217 Golden Gate Plz, Maumee, OH 43537-2881 | 2017-04-14 |
| 1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
| 1043673700 | Promedica Central Physicians LLC | Clinic/Center | 6755 W Central Ave, Toledo, OH 43617-1109 | 2016-03-31 |
| 1255792024 | Promedica Central Physicians LLC | Clinic/Center | 6711 Airport Hwy, Holland, OH 43528-8104 | 2016-03-08 |
| 1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
| 1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
| 1568842813 | Promedica Central Physicians LLC | Clinic/Center | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 | 2015-06-02 |
| 1962800672 | Promedica Central Physicians LLC | Ophthalmology | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2014-12-11 |
| 1417355223 | Promedica Central Physicians LLC | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2014-12-10 |
| 1023416849 | Promedica Central Physicians LLC | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2014-12-10 |
| Street Address |
5308 HARROUN RD SUITE 170 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631739 | Jeffrey H Muler | Internal Medicine | 5308 Harroun Rd, Suite 055, Sylvania, OH 43560-2114 | 2005-06-30 |
| 1225488380 | Joanna F Shaw | Nurse Practitioner | 5308 Harroun Rd, # 155, Sylvania, OH 43560-2193 | 2016-06-20 |
| 1659700979 | Sharon Nolan | Nurse Practitioner | 5308 Harroun Rd, Suite 160, Sylvania, OH 43560-2193 | 2013-11-07 |
| 1831526730 | Promedica Central Physicians LLC | Surgery | 5308 Harroun Rd, Suite 180, Sylvania, OH 43560-2114 | 2013-10-09 |
| 1437599099 | Sohil Patel | Family Medicine | 5308 Harroun Rd, # 155, Sylvania, OH 43560-2193 | 2013-06-27 |
| 1154672145 | Melanie Rose Miller | Registered Nurse | 5308 Harroun Rd, Suite 175, Sylvania, OH 43560-2114 | 2012-10-01 |
| 1396005559 | Bonnie J Brahaney | Nurse Practitioner | 5308 Harroun Rd, Suite 055, Sylvania, OH 43560-2114 | 2012-05-22 |
| 1730461955 | Midwest Cardiovascular Consutlants, LLC | Internal Medicine | 5308 Harroun Rd, Suite 165, Sylvania, OH 43560-2114 | 2011-09-14 |
| 1366721920 | Promedica Central Physicians | Surgery | 5308 Harroun Rd, Suite 160, Sylvania, OH 43560-2114 | 2011-08-12 |
| 1750660403 | Promedica Hematology-oncology Physicians, LLC | Internal Medicine | 5308 Harroun Rd, Suite 055, Sylvania, OH 43560-2114 | 2011-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1518200500 | Holly Dickman | Family Medicine | 7640 Sylvania Ave Ste K, Sylvania, OH 43560-9263 | 2013-03-28 |
| 1578842712 | Screven County Hospital LLC | Family Medicine | 213 Mims Rd, Sylvania, GA 30467-1994 | 2011-08-05 |
| 1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
| 1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1043298250 | Phillip H Fisher | Family Medicine | 7640 W. Sylvania, Suite K, Sylvania, OH 43560 | 2006-01-06 |
| 1649263534 | Willis M Morse | Family Medicine | 5700 Monroe St Unit 201, Sylvania, OH 43560-2735 | 2005-08-25 |
| 1215939848 | John P Imm | Family Medicine | 5700 Monroe St Unit 111, Sylvania, OH 43560-2779 | 2005-08-12 |
| 1437151297 | Donald Vogel | Family Medicine | 5700 Monroe St Unit 206, Sylvania, OH 43560-2735 | 2005-08-11 |
| Find all providers in SYLVANIA | ||||
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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.