NPIMap

Organization Active NPI

Promedica Central Physicians, LLC

Doing business as Port Sylvania Family Physicians

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1356485874
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROMEDICA CENTRAL PHYSICIANS, LLC
Doing business as
Port Sylvania Family Physicians
Practice address
7140 Port Sylvania Dr
Suite 300
Toledo, OH 43617-1176
Phone
(419) 843-8100
Fax
(419) 841-4681
NPI assigned
Feb 17, 2007
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Kenya Dixon
Title
Credentialing Assistant
Phone
(419) 824-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7140 Port Sylvania Dr
Suite 300
Toledo, OH 43617-1176

Mailing address

7140 Port Sylvania Dr
Suite 300
Toledo, OH 43617-1176
Phone (419) 843-8100

Other names 1

  • Port Sylvania Family Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promedica Central Physician LLC75 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

7140 Port Sylvania Dr
Ste 300
Toledo, OH 43617
Phone (419) 843-3998

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1356485874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 PORT SYLVANIA DR",
            "address_2": "SUITE 300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171176",
            "telephone_number": "419-843-8100",
            "fax_number": "419-841-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PORT SYLVANIA DR",
            "address_2": "SUITE 300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171176",
            "telephone_number": "419-843-8100",
            "fax_number": "419-841-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
        "authorized_official_telephone_number": "419-824-7288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Sylvania Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.