NPIMap

Organization Active NPI

Promedica Central Physicians

Doing business as Terry M. Gibbs, D.O.

  • Obstetrics & Gynecology Physician
  • Sylvania, OH
National Provider Identifier
1407996333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PROMEDICA CENTRAL PHYSICIANS
Doing business as
Terry M. Gibbs, D.O.
Practice address
5308 Harroun Rd
Suite 175
Sylvania, OH 43560-2114
Phone
(419) 824-5608
Fax
(419) 885-3686
NPI assigned
Feb 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OH Primary

Addresses

Primary practice location

5308 Harroun Rd
Suite 175
Sylvania, OH 43560-2114

Mailing address

5308 Harroun Rd
Suite 175
Sylvania, OH 43560-2114
Phone (419) 824-5608

Other identifiers 1

IdentifierTypeStateIssuer
40369550006OtherOHDMERC

Other names 1

  • Terry M. Gibbs, D.O. 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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407996333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD",
            "address_2": "SUITE 175",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602114",
            "telephone_number": "419-824-5608",
            "fax_number": "419-885-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD",
            "address_2": "SUITE 175",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602114",
            "telephone_number": "419-824-5608",
            "fax_number": "419-885-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "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": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "40369550006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry M. Gibbs, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.