PROMEDICA GENITO-URINARY SURGEONS LLC (NPI# 1477980753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477980753 |
| Entity Type | Organization |
| Organization Name | PROMEDICA GENITO-URINARY SURGEONS LLC |
| Practice Address |
605 3rd Ave Ste A Suite B Fremont OH 43420-3269 |
| Practice Telephone | 4193327221 |
| Practice Fax Number | 4193327225 |
| Mailing Telephone | 4193327221 |
| Mailing Fax Number | 4193327225 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | AMY L DWYER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366795221 | Promedica Genito-urinary Surgeons LLC | Anesthesiology | 1 Seagate Ste 800, Toledo, OH 43604-1558 | 2012-10-17 |
| 1922422997 | Promedica Genito-urinary Surgeons LLC | Urology | 7640 Sylvania Ave, Suite L, Sylvania, OH 43560-9729 | 2014-02-12 |
| 1184051468 | Promedica Genito-urinary Surgeons LLC | Urology | 5757 Monclova Rd, Suite 6, Maumee, OH 43537-1863 | 2013-10-02 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| 1477990893 | Promedica Genito-urinary Surgeons LLC | Urology | 121 Westfield Dr, Archbold, OH 43502-1056 | 2013-05-24 |
| Street Address |
605 3RD AVE STE A SUITE B |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770693335 | Shai Yeshajahu Shinhar | Otolaryngology | 605 3rd Ave Ste A, Fremont, OH 43420-3269 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689711756 | Mark R. Avon | Urology | 1999 Mowry Ave Ste 2m, Fremont, CA 94538-1706 | 2007-01-30 |
| 1124007042 | Urology Health Center PC | Urology | 2735 N Clarkson St, Fremont, NE 68025 | 2006-01-10 |
| 1912903071 | Richard J Long | Urology | 1999 Mowry Ave #2m, Fremont, CA 94538-1706 | 2005-06-23 |
| 1376930941 | Andrew Kuiwai Leung | Urology | 3140 Kearney St, Fremont, CA 94538-2292 | 2015-04-22 |
| 1851616486 | Mark Hsu | Urology | 39141 Civic Center Dr Ste 335, Fremont, CA 94538-5878 | 2010-04-07 |
| 1760652184 | Rao Sunkavally | Urology | 1999 Mowry Ave, Suite 2-d, Fremont, CA 94538-1738 | 2008-03-03 |
| 1639242886 | Rao V Sunkavally Md | Urology | 1999 Mowry Ave, Suite 2d, Fremont, CA 94538 | 2006-11-16 |
| 1831270651 | John Parker Heine | Urology | 1999 Mowry Ave, #2m, Fremont, CA 94538 | 2006-10-18 |
| 1225133788 | Rajesh Shinghal | Urology | 3200 Kearney St, Fremont, CA 94538-2299 | 2006-09-13 |
| 1366478190 | Mark Saleh | Urology | 39141 Civic Center Dr, Ste 335, Fremont, CA 94538-5818 | 2006-06-23 |
| Find all providers in FREMONT | ||||
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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.