PROMEDICA CENTRAL PHYSICIANS (NPI# 1679844955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679844955 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS |
| Other Organization Name | PATRICK WHITE MD AND JOSE PARODI MD |
| Practice Address |
725 S Shoop Ave Wauseon OH 43567-1702 |
| Practice Telephone | 4193302740 |
| Mailing Telephone | 4193302740 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Patrick White MD and Jose Parodi MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649689860 | Promedica Central Physicians | Optometrist | 1 Seagate, Suite 800, Toledo, OH 43604 | 2014-08-13 |
| 1194098566 | Promedica Central Physicians | Urology | 3436 Granite Cir, Toledo, OH 43617-1160 | 2012-02-16 |
| 1013289404 | Promedica Central Physicians | Surgery | 3909 Woodley Rd, Suite 200, Toledo, OH 43606-1169 | 2012-02-01 |
| 1588936207 | Promedica Central Physicians | Internal Medicine | 501 Van Buren St, Fostoria, OH 44830-1534 | 2012-01-27 |
| 1568733848 | Promedica Central Physicians | Family Medicine | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2012-01-19 |
| 1194096693 | Promedica Central Physicians | Internal Medicine | 777 Kimole Ln, Suite 250, Adrian, MI 49221-1478 | 2012-01-16 |
| 1457632309 | Promedica Central Physicians | Psychiatry & Neurology | 1601 Brigham Dr, Suite 150, Perrysburg, OH 43551-7114 | 2011-09-06 |
| 1891076899 | Promedica Central Physicians | Internal Medicine | 2109 Hughes Dr, Suite 760, Toledo, OH 43606-3856 | 2011-09-02 |
| 1366721920 | Promedica Central Physicians | Surgery | 5308 Harroun Rd, Suite 160, Sylvania, OH 43560-2114 | 2011-08-12 |
| 1952680514 | Promedica Central Physicians | Internal Medicine | 1250 Ralston Ave, Suite 106, Defiance, OH 43512-5311 | 2011-08-12 |
| Street Address |
725 S SHOOP AVE |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396712683 | Charles David Sr. | Emergency Medicine | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-03-05 |
| 1023670395 | Erica Elling | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2019-07-08 |
| 1194223347 | Justin M Sauder | Nurse Anesthetist, Certified Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-23 |
| 1922515766 | Brad A Glanz | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-02 |
| 1316464548 | Maren Williams | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-08-28 |
| 1629506167 | Morgan Nichole Wright | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-05-29 |
| 1780122697 | Tonya Gomez | Dietitian, Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-02-10 |
| 1114464583 | Brooke J Kleeberger | Social Worker | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-01-24 |
| 1609324748 | Denise Nofziger | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-19 |
| 1477000248 | Tamara Martin | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1922155563 | Sema Justus Fofung | Specialist | 735 South Shoop Avenue, Suite 3, Wauseon, OH 43567 | 2007-01-05 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| Find all providers in zip 43567 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629276266 | T. Frederick Weigand Jr Md Inc | Surgery | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2007-07-05 |
| 1861470007 | Patricia Ann Mahoney | Surgery | 735 S Shoop Ave, Wauseon, OH 43567-1735 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
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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.