PROMEDICA CENTRAL PHYSICIANS, LLC


Address: 2865 N Reynolds Rd, Suite 130, Toledo, OH 43615-2068
Phone: 4195787036

PROMEDICA CENTRAL PHYSICIANS, LLC (NPI# 1548304074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548304074
Entity Type Organization
Organization Name PROMEDICA CENTRAL PHYSICIANS, LLC
Other Organization Name WILDWOOD FAMILY PRACTICE
Practice Address 2865 N Reynolds Rd
Suite 130
Toledo
OH 43615-2068
Practice Telephone 4195787036
Practice Fax Number 4195375597
Mailing Telephone 4195787036
Mailing Fax Number 4195375597
Enumeration Date 2007-02-17
Last Update Date 2008-02-18
Authorized Official Name KENYA DIXON (CREDENTIALING ASSISTANT)
Authorized Official Telephone 4198247288
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RS0010X Internal Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Wildwood Family Practice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922142447 Promedica Central Physicians, LLC Family Medicine 1990 County Road U, Metamora, OH 43540-9717 2007-02-17
1295879716 Promedica Central Physicians, LLC Pediatrics 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1734 2007-02-17
1356485874 Promedica Central Physicians, LLC Family Medicine 7140 Port Sylvania Dr, Suite 300, Toledo, OH 43617-1176 2007-02-17
1568001352 Promedica Central Physicians, LLC Clinic/Center 1180 N Main St Ste 5, Bowling Green, OH 43402-4932 2019-12-27
1396273405 Promedica Central Physicians, LLC Clinic/Center 3430 Secor Rd Ste 425, Toledo, OH 43606-1547 2017-06-02
1932595428 Promedica Central Physicians, LLC Podiatrist 4888 Whiteford Rd, Toledo, OH 43623-2810 2015-04-10
1699056549 Promedica Central Physicians, LLC Psychiatry & Neurology 5300 Harroun Rd, Suite 202, Sylvania, OH 43560-2182 2011-09-06
1063793917 Promedica Central Physicians, LLC Orthopaedic Surgery 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 2011-09-06
1255612107 Promedica Central Physicians, LLC Family Medicine 2865 N Reynolds Rd, Suite 260, Toledo, OH 43615-2068 2011-09-06
1609172493 Promedica Central Physicians, LLC Pediatrics 2142 N Cove Blvd, 5-north Peds, Toledo, OH 43606-3895 2011-01-27

Office Location

Street Address 2865 N REYNOLDS RD
SUITE 130
City TOLEDO
State OH
Zip Code 43615-2068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982606109 Philip T Nelsen Ophthalmology 2865 N Reynolds Rd, Suite 230, Toledo, OH 43615-2068 2005-06-01
1679005623 Alyssa Horne Family Medicine 2865 N Reynolds Rd, Toledo, OH 43615-2068 2017-03-29
1467999078 Joseph Scherger Physician Assistant 2865 N Reynolds Rd, Suite A, Toledo, OH 43615-2068 2017-01-21
1366824757 Jill Anne Kunisch Nurse Practitioner 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 2015-06-23
1134545437 Bridget Jurkiewicz Physician Assistant 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 2014-03-11
1518390590 Paige Lichtenberg Occupational Therapist 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 2013-08-14
1962777326 Jeanne-marie Sinnott Family Medicine 2865 N Reynolds Rd, Suite 140, Toledo, OH 43615-2068 2012-03-19
1063793917 Promedica Central Physicians, LLC Orthopaedic Surgery 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 2011-09-06
1255612107 Promedica Central Physicians, LLC Family Medicine 2865 N Reynolds Rd, Suite 260, Toledo, OH 43615-2068 2011-09-06
1780973180 Kevin Robert Dankert Physical Medicine & Rehabilitation 2865 N Reynolds Rd, Toledo, OH 43615-2068 2011-04-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518507219 Malcolm Banks Case Manager/Care Coordinator 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 2020-01-10
1730670076 Ericka Catchings Counselor 1124 Wenz Rd, Toledo, OH 43615 2018-05-22
1124516174 Ashton Kovic Case Manager/Care Coordinator 9715 Dorr St., Toledo, OH 43615 2018-04-25
1154863777 Sheron Jenece Garmon Occupational Therapist 5963 Luddington Dr, Toledo, OH 43615 2016-11-14
1558813394 Alexander Jacoby Specialist/Technologist 1001 N Warpole St, Toledo, OH 43615 2016-10-27
1790233674 Donalisa June Mcnichols Counselor 115 S. Reynolds Rd., Toledo, OH 43615 2016-09-20
1790130326 Eagle Medical Transportation LLC Non-emergency Medical Transport (VAN) 3409 Holland Sylvania Rd #3, Toledo, OH 43615 2016-05-02
1073972519 Rhonda Stanley Registered Nurse 115 S Reynolds Rd Ste C, Toledo, OH 43615 2016-02-12
1043635626 Ciera Larae Wilcox Home Health Aide 360. S Reynolds Rd, Toledo, OH 43615 2014-02-19
1336560317 Ariel Monique Greenleaf Registered Nurse 4661 Ventura Dr, Toledo, OH 43615 2013-12-18
Find all providers in zip 43615

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255612107 Promedica Central Physicians, LLC Family Medicine 2865 N Reynolds Rd, Suite 260, Toledo, OH 43615-2068 2011-09-06
1215240676 University of Toledo Physicians, LLC Family Medicine 3000 Arlington Ave, Toledo, OH 43614-2595 2010-07-14
1922012533 The Orthopaedic Network, Inc Family Medicine 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 2006-07-28
1588678742 Luke Ragan Family Medicine 2865 N Reynolds Rd, Building A, Toledo, OH 43615-2068 2006-07-27
1487650339 Roger John Kruse Family Medicine 2865 N Reynolds Rd, Ste 130, Toledo, OH 43615-2068 2005-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417467119 Natalie Marie Dragovich Family Medicine 9228 Shepard Rd, Macedonia, OH 44056-1454 2017-10-07
1134547615 Ryan E Hunt Family Medicine 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 2014-04-02
1295152296 Benjamin Ross Ahrens Family Medicine 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 2014-03-27
1083039309 Jamie Delvecchio Family Medicine 150 7th Ave Ste 200, Chardon, OH 44024 2014-02-24
1669815445 Anthony Peter Mckeen Family Medicine 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 2013-04-11
1053661322 Greene Memorial Hospital Services, Inc. Family Medicine 6645 Morris Rd, Hamilton, OH 45011-5417 2012-09-14
1700142734 Jeffrey Aaron James Family Medicine 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 2012-04-04
1568751790 Raul A Raudales Jr. Family Medicine State Rte 159, Ste G15, Chillicothe, OH 45601 2011-03-28
1255639381 Ohiohealth Corporation Family Medicine 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 2011-03-15
1811295900 Ohiohealth Corporation Family Medicine 94 N High St Ste 200, Dublin, OH 43017-1194 2011-03-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City TOLEDO
Zip Code 43615

Improve Information

Please comment or provide details below to improve the information on PROMEDICA CENTRAL PHYSICIANS, LLC.

Dataset Information

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.

Trending Searches