Promedica Central Physicians, Llc
Pediatric Gastroenterology
Promedica Central Physicians, Llc is a Toledo, Ohio based Pediatric center with medical specialization in
Pediatric Gastroenterology. Promedica Central Physicians, Llc is doing business as
Pediatric And Adolescent Gastroenterology And Nutrition Team.
It is located at
2109 Hughes Dr, Suite 860, Toledo, Ohio - 43606-3856. They can be contacted on phone at
419-291-7010 and fax number 419-479-6917.
NPI number (Unique professional ID) for Promedica Central Physicians, Llc is
1144365669 which was assigned by NPPES on 21 Feb, 2007 and it was last updated on 21 Jul, 2022.
Promedica Central Physicians, Llc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Promedica Central Physicians, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Promedica Central Physicians, Llc |
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| Other Name : | Pediatric And Adolescent Gastroenterology And Nutrition Team |
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Business Address:
Promedica Central Physicians, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2109 Hughes Dr, Suite 860
Toledo, OH, 43606-3856
United States |
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| Phone Number : | 419-291-7010 |
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| Fax Number : | 419-479-6917 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144365669 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Feb, 2007 |
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| Last Updated On : | 21 Jul, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kimberly Govan |
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| Official Title or Position : | CREDENTIALING SPECIALIST |
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| Phone Number : | 419-824-7221 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Promedica Central Physicians, Llc are as mentioned. Primary taxonomy code for Promedica Central Physicians, Llc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | OH |
Legacy Identifiers:
Other legacy medical identifiers of Promedica Central Physicians, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0999273 | MEDICAID | OH | |
| 7075625 | Other | OH | AETNA |
| CI3157 | Other | OH | RRMC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2109 Hughes Dr, Suite 860
Toledo, OH, 43606-3856
United States |
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| Phone Number : | 419-291-7010 |
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| Fax Number : | 419-479-6917 |
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Business Location:
Patients can refer following map for directions to
Promedica Central Physicians, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.