NPIMap

Organization Active NPI

Promedica Central Physicians

Doing business as ProMedica Physicians Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1669068482
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMEDICA CENTRAL PHYSICIANS
Doing business as
ProMedica Physicians Durable Medical Equipment
Practice address
2865 N Reynolds Rd BLDG a
Toledo, OH 43615-2100
Phone
(419) 578-7017
Fax
(567) 585-0489
NPI assigned
Dec 16, 2020
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMEDICA CENTRAL PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Tanya Wines
Title
Director
Phone
(567) 585-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2865 N Reynolds Rd BLDG a
Toledo, OH 43615-2100

Mailing address

100 Madison Ave
Toledo, OH 43604-1516
Phone (567) 585-1964

Other names 1

  • ProMedica Physicians Durable Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210003192 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2365348190 Practice locations: Toledo, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Promedica Central Physicians LLC75 organizations share this tax ID, including this one
Part of
Promedica Central Physicians LLC

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 (25 of 35)

1200 Ralston Ave
Ste 103
Defiance, OH 43512
Phone (419) 783-6955

1661 Holland Rd
Ste 500
Maumee, OH 43537
Phone (419) 891-6210

5705 Monclova Rd
Ste 203
Maumee, OH 43537
Phone (419) 893-2622

650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210

660 Beaver Creek Cir
Ste 110
Maumee, OH 43537
Phone (419) 891-6210

660 Beaver Creek Cir
Ste 200A
Maumee, OH 43537
Phone (419) 824-5624

2751 Bay Park Dr
Ste 130
Oregon, OH 43616
Phone (419) 690-7550

3156 Dustin Rd
Ste 300
Oregon, OH 43616
Phone (419) 291-6715

1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700

1601 Brigham Dr
Ste 160
Perrysburg, OH 43551
Phone (419) 872-7710

204 S Main St
Swanton, OH 43558
Phone (419) 825-2543

22 Turtle Creek Cir
Ste E
Swanton, OH 43558
Phone (419) 825-2387

5300 Harroun Rd
Ste 202
Sylvania, OH 43560
Phone (419) 824-6350

5308 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 824-6193

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 211
Sylvania, OH 43560
Phone (419) 776-1004

60 Ashwood Dr
Tiffin, OH 44883
Phone (419) 448-8811

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2000 Regency Ct
Ste 201
Toledo, OH 43623
Phone (419) 843-5633

2109 Hughes Dr
#840
Toledo, OH 43606
Phone (419) 291-5900

2109 Hughes Dr
#980
Toledo, OH 43606
Phone (419) 291-2310

2109 Hughes Dr
Ste 400
Toledo, OH 43606
Phone (419) 291-2080

2109 Hughes Dr
Ste 610
Toledo, OH 43606
Phone (419) 291-4544

2109 Hughes Dr
Ste 980
Toledo, OH 43606
Phone (419) 291-2310

2121 Hughes Dr
Ste 300
Toledo, OH 43606
Phone (419) 291-2121

Practitioners & affiliated clinicians

Practitioners 1,170

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,170

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1669068482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516",
            "telephone_number": "567-585-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD BLDG A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152100",
            "telephone_number": "419-578-7017",
            "fax_number": "567-585-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMEDICA CENTRAL PHYSICIANS",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "WINES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "567-585-0422"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Physicians Durable Medical Equipment",
            "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 Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.