Promedica Genito-Urinary Surgeons Llc

LBN: Promedica Genito-Urinary Surgeons Llc
Promedica Genito-Urinary Surgeons Llc is an health care organization with primary practice located at 2120 W Central Ave , Toledo OH 43606-3834. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Promedica Genito-Urinary Surgeons Llc can be contacted via phone (419) 531-8558, or through Knueven, Kristin via phone (567) 585-1969.

Contact Information

Primary practice address
2120 W Central Ave Toledo OH 43606-3834
Phone: (419) 531-8558
Fax: (419) 531-8798
Website:
Map and Directions
Authorized official contact:
Name: Knueven, Kristin
Phone: (567) 585-1969

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Ohio

Profile Details

NPI number 1366795221
LBN Legal business name Promedica Genito-Urinary Surgeons Llc
DBA Doing business as
Authorized official Knueven, Kristin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366795221 NPPES
Ohio MEDICAID 0076667

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