Promedica Central Physicians, LLC
Organization Active NPI Pediatrics Physician · Maumee, OH
NPI 1295879716 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295879716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- PROMEDICA CENTRAL PHYSICIANS, LLC
- Practice address
- 650 Beaver Creek Cir
Suite 130
Maumee, OH 43537-1734 - Phone
- (419) 891-6262
- Fax
- (419) 893-1196
- NPI assigned
- Feb 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Kenya Dixon
- Title
- Credentialing Assistant
- Phone
- (419) 824-7288
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Promedica Central Physi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
650 Beaver Creek Cir
Suite 130
Maumee, OH 43537-1734
Mailing address
650 Beaver Creek Cir
Suite 130
Maumee, OH 43537-1734
Phone (419) 891-6262
Other names
- Fadia Abaza, MD
Other providers in Maumee, OH
- Precision Imaging LLC
- Deanna Leigh Price
- Professional Care Management Inc
- Progressive Therapy Alternatives, Inc
- Promedica Central Physicians LLC
- Promedica Central Physicians, LLC
- Promedica Central Physicians, LLC
- Promedica Central Physicians, LLC
- Promedica Genito-Urinary Surgeons LLC
- Pulmonary & Critical Care Specialists Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.