Promedica Central Physicians

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PROMEDICA CENTRAL PHYSICIANS

Doing business as

Toledo Pulmonary & Sleep Specialists

Practice address

777 Kimole LN
Suite 250
Adrian, MI 49221-1478

Phone

(888) 593-5815

NPI assigned

Jan 16, 2012

Last updated

Jan 16, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy L Bahnsen

Title

Credentialing Supervisor

Phone

(419) 824-7334

Specialties & licenses 2

Addresses

Other names 1

• Toledo Pulmonary & Sleep Specialists Doing business as

Tax ID family

Promedica Central Physician LLC75 organizations share this tax ID, including this one

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1194096693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "address_2": "SUITE 250",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "888-593-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KIMOLE LN",
            "address_2": "SUITE 250",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211478",
            "telephone_number": "888-593-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "BAHNSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "419-824-7334"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Pulmonary & Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primetime Chiropractic PLLC
• Kaitlyn Nicole Probelski
• Shelly Elizabeth Proffitt, CHW
• Tesha Proffitt
• Promedica Central Corporation of Michigan
• Promedica Continuing Care Services Corp (Promedica Home Medical Equipment)
• Promedica of Adrian Mi, LLC (ProMedica Charlotte Stephenson Manor)
• Whitney Alysse Puckey, LLPC
• Pure Psychiatry of Michigan PLLC
• Vanessa Putnam, LMT

• Pulmonary Disease Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.