PROMEDICA CENTRAL PHYSICIANS,LLC (NPI# 1548461288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548461288 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS,LLC |
| Other Organization Name | PEDIATRIC PULMONARY ASSOCIATES |
| Practice Address |
2121 Hughes Dr Suite 640 Toledo OH 43606-3845 |
| Practice Telephone | 4192912207 |
| Practice Fax Number | 4194796998 |
| Mailing Telephone | 4192912207 |
| Mailing Fax Number | 4194796998 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 5675851969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Pulmonary Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578604872 | Promedica Central Physicians,llc | Family Medicine | 22 Turtle Creek Cir, Suite E, Swanton, OH 43558-8591 | 2007-02-09 |
| 1730371600 | Promedica Central Physicians,llc | Obstetrics & Gynecology | 22 Turtle Creek Cir, Suite E, Swanton, OH 43558-8591 | 2007-08-15 |
| 1285826156 | Promedica Central Physicians,llc | Obstetrics & Gynecology | 1601 Brigham Dr, Suite 250a, Perrysburg, OH 43551-7114 | 2007-08-15 |
| 1629119821 | Promedica Central Physicians,llc | Family Medicine | 5300 Harroun Rd, Suite 201, Sylvania, OH 43560-2182 | 2007-02-09 |
| Street Address |
2121 HUGHES DR SUITE 640 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960798 | James W Hunyadi | Specialist | 2121 Hughes Dr, Ste 920, Toledo, OH 43606-5140 | 2005-05-23 |
| 1356940985 | Kristina K Wisner | Respiratory Therapist, Registered | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2020-10-24 |
| 1073989158 | Kelly Thomas | Nurse Practitioner | 2121 Hughes Dr, Suite 640, Toledo, OH 43606-3845 | 2015-08-12 |
| 1134536840 | Jennifer Joan Tillman | Nurse Practitioner | 2121 Hughes Dr, Suite 830, Toledo, OH 43606-3845 | 2014-07-14 |
| 1073853545 | Stacey L Hogan | Physician Assistant | 2121 Hughes Dr, #310, Toledo, OH 43606-3845 | 2013-02-21 |
| 1629357371 | Promedica Central Physicians LLC | Surgery | 2121 Hughes Dr, Suite 710, Toledo, OH 43606-3845 | 2011-08-12 |
| 1538489927 | Sharon Takyiwaa Thomas | Pediatrics | 2121 Hughes Dr, Suite 640, Toledo, OH 43606-3845 | 2010-06-08 |
| 1134451495 | Meghan E Beck | Physician Assistant | 2121 Hughes Dr, Suite 310, Toledo, OH 43606-3845 | 2010-02-11 |
| 1639307085 | Laurie A Boudreaux | Physician Assistant | 2121 Hughes Dr, Suite 310, Toledo, OH 43606-3845 | 2009-06-24 |
| 1659515575 | Adrian Anthony Lewis | Orthopaedic Surgery | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051168 | Ramalingareddy Polamreddy | Pediatrics | 2222 Cherry St, Ste 2900, Toledo, OH 43608-2673 | 2005-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659660686 | Gregory Thomas Burg | Pediatrics | 3333 Burnet Ave # Mlc7041, Cincinnati, OH 45229-3026 | 2011-03-30 |
| 1770602153 | Samiya Razvi | Pediatrics | 9500 Euclid Ave # A120, Children's Hospital At Cleveland Clinic, Cleveland, OH 44195-0001 | 2007-03-28 |
| 1518048743 | William D Hardie | Pediatrics | 3333 Burnet Ave Ml 2021, Cincinnati, OH 45229-3026 | 2006-10-17 |
| 1821027483 | Gary L Mcphail | Pediatrics | 3333 Burnet Ave., Ml 2021, Cincinnati, OH 45229-3039 | 2006-07-03 |
| 1558616250 | Michael Anthony Pena | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-07-18 |
| 1235499633 | Cassie Louise Shipp | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2012-05-21 |
| 1700145976 | Alisha George | Pediatrics | 3333 Burnet Ave, Ml 2021, Cincinnati, OH 45229-3026 | 2012-05-09 |
| 1689930737 | Mark E Minor | Pediatrics | 1 Childrens Plz, Dayton, OH 45404 | 2012-04-03 |
| 1861783680 | Benjamin David Goldstein | Pediatrics | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106 | 2011-04-27 |
| 1164712238 | Elizabeth L Kramer | Pediatrics | 3333 Burnet Avenue, Ml 2021, Cincinnati, OH 45229-3039 | 2011-04-11 |
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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.