NPIMap

Organization Active NPI

Promedica Genito-Urinary Surgeons LLC

  • Urology Physician
  • Sylvania, OH
National Provider Identifier
1922422997
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PROMEDICA GENITO-URINARY SURGEONS LLC
Practice address
7640 Sylvania Ave
Suite L
Sylvania, OH 43560-9729
Phone
(419) 517-1022
Fax
(419) 517-1026
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Kristin Knueven
Title
Supervisor
Phone
(567) 585-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X OH Primary

Addresses

Primary practice location

7640 Sylvania Ave
Suite L
Sylvania, OH 43560-9729

Mailing address

1 Seagate # 800
Toledo, OH 43604-1558
Phone (567) 585-1969

Other names 1

  • Carin V Hopps MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promedica Genito-Urinary Surgeons LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1922422997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE # 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1969",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE",
            "address_2": "SUITE L",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609729",
            "telephone_number": "419-517-1022",
            "fax_number": "419-517-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA GENITO-URINARY SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "KNUEVEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "567-585-1969"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carin V Hopps MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carin V Hopps MD",
            "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 Aug 29, 2019; 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.