PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC (NPI# 1457630105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457630105 |
| Entity Type | Organization |
| Organization Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC |
| Practice Address |
734 S Shoop Ave Suite B Wauseon OH 43567-1707 |
| Practice Telephone | 4193379995 |
| Practice Fax Number | 4193379994 |
| Mailing Telephone | 4193379995 |
| Mailing Fax Number | 4193379994 |
| 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 |
| 1285913939 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1037 Conneaut Ave, Suite 202, Bowling Green, OH 43402-5301 | 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 |
| 1811276561 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1600 E Riverview Ave, Napoleon, OH 43545-9805 | 2011-08-12 |
| Street Address |
734 S SHOOP AVE SUITE B |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982640017 | Bradley J Adams | Podiatrist | 734 S Shoop Ave, Wauseon, OH 43567-1707 | 2006-06-20 |
| 1467637124 | Bradley J Adams D P M | Durable Medical Equipment & Medical Supplies | 734 S Shoop Ave, Wauseon, OH 43567-1707 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1922155563 | Sema Justus Fofung | Specialist | 735 South Shoop Avenue, Suite 3, Wauseon, OH 43567 | 2007-01-05 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| Find all providers in zip 43567 | ||||
| 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. |
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|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| 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.