NPIMap

Organization Active NPI

Promedica Central Physician, LLC

Doing business as Sunforest OB GYN Associates

  • Obstetrics & Gynecology Physician
  • Toledo, OH
National Provider Identifier
1790826535
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PROMEDICA CENTRAL PHYSICIAN, LLC
Doing business as
Sunforest OB GYN Associates
Practice address
3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461
Phone
(419) 473-6622
Fax
(419) 473-6627
NPI assigned
Feb 12, 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
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461

Mailing address

3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461
Phone (419) 473-6622

Other names 1

  • Sunforest OB GYN Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promedica Central Physicians 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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1790826535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234461",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234461",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "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": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunforest OB GYN Associates",
            "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.