NPIMap

Organization Active NPI

Promedica Central Physicians, LLC

Doing business as Northwest Ohio ENT Consultants

  • Otolaryngology Physician
  • Fostoria, OH
National Provider Identifier
1841485802
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PROMEDICA CENTRAL PHYSICIANS, LLC
Doing business as
Northwest Ohio ENT Consultants
Practice address
501 Van Buren St
Suite 206
Fostoria, OH 44830-1534
Phone
(419) 435-5454
Fax
(419) 436-6623
NPI assigned
Sep 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
Kimberly Govan
Title
Credentialing Supervisor
Phone
(419) 824-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

501 Van Buren St
Suite 206
Fostoria, OH 44830-1534

Mailing address

501 Van Buren St
Suite 206
Fostoria, OH 44830-1534
Phone (419) 435-5454

Other names 1

  • Northwest Ohio ENT Consultants 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

501 Van Buren St
Ste 206
Fostoria, OH 44830
Phone (419) 435-5454

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1841485802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VAN BUREN ST",
            "address_2": "SUITE 206",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301534",
            "telephone_number": "419-435-5454",
            "fax_number": "419-436-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VAN BUREN ST",
            "address_2": "SUITE 206",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301534",
            "telephone_number": "419-435-5454",
            "fax_number": "419-436-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "GOVAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "419-824-7221"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ohio ENT Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fostoria, 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.