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).
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 |
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 Name | Type Code |
---|---|
Wildwood Family Practice | Doing Business As Name - Organization |
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 |
Street Address |
2865 N REYNOLDS RD SUITE 130 |
City | TOLEDO |
State | OH |
Zip Code | 43615-2068 |
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 |
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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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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 |
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 |
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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.