PROMEDICA GENITO-URINARY SURGEONS LLC (NPI# 1477990893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477990893 |
| Entity Type | Organization |
| Organization Name | PROMEDICA GENITO-URINARY SURGEONS LLC |
| Practice Address |
121 Westfield Dr Archbold OH 43502-1056 |
| Practice Telephone | 5374444748 |
| Practice Fax Number | 5674444750 |
| Mailing Telephone | 5374444748 |
| Mailing Fax Number | 5674444750 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| 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 |
| 1477980753 | Promedica Genito-urinary Surgeons LLC | Urology | 605 3rd Ave Ste A, Suite B, Fremont, OH 43420-3269 | 2013-10-02 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| Street Address |
121 WESTFIELD DR |
| City | ARCHBOLD |
| State | OH |
| Zip Code | 43502-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164464046 | Eric J Lehman | Family Medicine | 121 Westfield Dr, Archbold, OH 43502-1056 | 2006-06-12 |
| 1902273121 | Tamara Snyder | Nurse Practitioner | 121 Westfield Dr, Archbold, OH 43502-1056 | 2015-08-24 |
| 1972837284 | Nw Ohio Spine and Sport, LLC | Pain Medicine | 121 Westfield Dr, Suite 2, Archbold, OH 43502-1056 | 2009-09-21 |
| 1134385214 | Michele Stewart Nafziger | Dietitian, Registered | 121 Westfield Dr, Suite 1, Archbold, OH 43502-1056 | 2008-07-29 |
| 1023138666 | Midwest Community Health Associates | Family Medicine | 121 Westfield Dr, Archbold, OH 43502-1056 | 2007-03-29 |
| 1831257518 | Neurosurgical Network, Inc. | Neurological Surgery | 121 Westfield Dr, Archbold, OH 43502-1056 | 2006-12-05 |
| 1558399097 | Jason P Row | Family Medicine | 121 Westfield Dr, Archbold, OH 43502-1056 | 2006-06-30 |
| 1902834427 | Keith J Lehman | Family Medicine | 121 Westfield Dr, Archbold, OH 43502-1056 | 2006-06-30 |
| 1528097938 | Rick L Yoder | Family Medicine | 121 Westfield Dr, Archbold, OH 43502-1056 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656695 | Lindsay Christine Smallman | Social Worker | 22987 Us Highway 20a, Archbold, OH 43502 | 2018-10-30 |
| 1508371949 | Danielle N Carder | Peer Specialist | 22897 Us-20 Alt, Archbold, OH 43502 | 2017-12-07 |
| 1609103761 | Lutheran Social Services | Community/Behavioral Health | T-792 St Rt 66, Archbold, OH 43502 | 2009-11-11 |
| 1215948302 | Archbold Physical Therapy Services, Inc. | Clinic/Center | 815 East Lutz Road, Archbold, OH 43502 | 2006-08-11 |
| 1205852811 | Alfred W Holland II | Nurse Anesthetist, Certified Registered | Fulton Anethesia Associates Inc, 201 Ditto St, Archbold, OH 43502 | 2006-07-15 |
| 1619927704 | Rhonda S Gingerich | Speech-Language Pathologist | 109 Pheasant Lane, Archbold, OH 43502 | 2006-05-11 |
| 1609852144 | Fulton Anesthesia Associates Inc | Anesthesiology | 201 Ditto St, Archbold, OH 43502 | 2005-12-16 |
| 1073134185 | Emily Bagrowski | Social Worker | 22897 Us-20 Alt, Archbold, OH 43502 | 2020-04-29 |
| 1114553666 | Paula Lynn Rettig | Counselor | 22897 Us-20 Alt, Archbold, OH 43502 | 2020-03-17 |
| 1336627710 | Kelly Colon | Social Worker | 22897 Us-20 Alt, Archbold, OH 43502 | 2018-07-30 |
| Find all providers in zip 43502 | ||||
| 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 |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
| 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.