Promedica Central Physicians - Medicare in Toledo, OH

Promedica Central Physicians is a medicare enrolled "Family Medicine" provider in Toledo, Ohio. Their current practice location is 100 Madison Ave, Msc-s38805, Toledo, Ohio. You can reach out to their office (for appointments etc.) via phone at (567) 585-1964.

Promedica Central Physicians is licensed to practice in Ohio (license number ) and it also participates in the medicare program. Promedica Central Physicians is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1043270150.

Contact Information

Promedica Central Physicians
100 Madison Ave, Msc-s38805,
Toledo, OH 43604-1531
(567) 585-1964
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePromedica Central Physicians
TypeFacility
SpecialityFamily Medicine
Location100 Madison Ave, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043270150
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365348190
  • Enrollment ID: O20031211000226

Medical Identifiers

Medical identifiers for Promedica Central Physicians such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043270150NPI-NPPES
0999273MedicaidOH
CI3157OtherOHRRMC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (Michigan)Secondary
207Q00000XFamily Medicine (Ohio)Primary
207R00000XInternal Medicine (Ohio)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (Ohio)Secondary
207RP1001XInternal Medicine - Pulmonary Disease (Ohio)Secondary
207RP1001XInternal Medicine - Pulmonary Disease (Michigan)Secondary
207RS0012XInternal Medicine - Sleep Medicine (Ohio)Secondary
207RS0012XInternal Medicine - Sleep Medicine (Michigan)Secondary
207V00000XObstetrics & Gynecology (Ohio)Secondary
207W00000XOphthalmology (Michigan)Secondary
207Y00000XOtolaryngology (Ohio)Secondary
208600000XSurgery (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery (Michigan)Secondary
363A00000XPhysician Assistant (Ohio)Secondary
363L00000XNurse Practitioner (Ohio)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Promedica Central Physicians acts as a billing entity for following providers:
Provider NameHoward Adam Black
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1265430185
PECOS PAC ID: 7315851581
Enrollment ID: I20031114000027
Provider NameMary Patricia Pellioni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033146030
PECOS PAC ID: 2365347226
Enrollment ID: I20031203000739
Provider NameWillis M Morse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649263534
PECOS PAC ID: 4880590983
Enrollment ID: I20031210000096
Provider NameRebecca Campbell Clark
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033111752
PECOS PAC ID: 0244136877
Enrollment ID: I20031212000223
Provider NameJihad Tahsin Abbas
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1245234129
PECOS PAC ID: 7810894425
Enrollment ID: I20031212000612
Provider NameJeffrey B Mcclure
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497757579
PECOS PAC ID: 2163321944
Enrollment ID: I20031231000496
Provider NameMohammad Farooq Afridi
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1902809312
PECOS PAC ID: 1052210184
Enrollment ID: I20040107000649
Provider NameSusan B Katsaris-peeps
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053378703
PECOS PAC ID: 5193625994
Enrollment ID: I20040109000232
Provider NameAshok Biyani
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780671032
PECOS PAC ID: 0648170852
Enrollment ID: I20040113000383
Provider NameMelinda Rakesmith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588662480
PECOS PAC ID: 3971404948
Enrollment ID: I20040114000417
Provider NameBarbara A Grover
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740288778
PECOS PAC ID: 5193626018
Enrollment ID: I20040115000048
Provider NameChristopher M Wiederhold
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558369488
PECOS PAC ID: 6305747247
Enrollment ID: I20040115000158
Provider NameDiana C Hyden
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093813529
PECOS PAC ID: 7416858147
Enrollment ID: I20040116000016
Provider NameJeffrey Muler
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1285631739
PECOS PAC ID: 4789585886
Enrollment ID: I20040120000588
Provider NameCorinne Marie Foley Bojanic
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1750389631
PECOS PAC ID: 0547161606
Enrollment ID: I20040120000898
Provider NameGregory Minas Georgiadis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104819861
PECOS PAC ID: 3870495898
Enrollment ID: I20040121000865
Provider NameAbdul Azim Mustapha
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063409324
PECOS PAC ID: 8820990864
Enrollment ID: I20040121000962
Provider NameThomas George Padanilam
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861489122
PECOS PAC ID: 0547166902
Enrollment ID: I20040121001009
Provider NameMartin Charles Skie
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568459824
PECOS PAC ID: 1557263506
Enrollment ID: I20040121001032
Provider NameDavid J Dixon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184610727
PECOS PAC ID: 4183526064
Enrollment ID: I20040121001205
Provider NameJohn P Imm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215939848
PECOS PAC ID: 3476456385
Enrollment ID: I20040128001205
Provider NameKarl J Beer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568577153
PECOS PAC ID: 3476458902
Enrollment ID: I20040131000343
Provider NameJohn C Burchfield
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144292566
PECOS PAC ID: 8123911492
Enrollment ID: I20040203000113
Provider NameShalini S Singh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093793663
PECOS PAC ID: 0244123446
Enrollment ID: I20040203000368
Provider NameBasil E Akpunonu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023003530
PECOS PAC ID: 8820981590
Enrollment ID: I20040205000929
Provider NameM Bashar Kahaleh
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1891781050
PECOS PAC ID: 6204729981
Enrollment ID: I20040205000982
Provider NameBenjamin Andrew White
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417923467
PECOS PAC ID: 1557264884
Enrollment ID: I20040206000297
Provider NameBrenda M Brady
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073557989
PECOS PAC ID: 0547154478
Enrollment ID: I20040211001034
Provider NameLayth Maolood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790788701
PECOS PAC ID: 5991699753
Enrollment ID: I20040211001252
Provider NameRuby N Nucklos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194710772
PECOS PAC ID: 6103711064
Enrollment ID: I20040218001168
Provider NameAnand Bheema Mutgi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770578353
PECOS PAC ID: 3274428131
Enrollment ID: I20040218001180
Provider NameSuhail Aftab
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1699722090
PECOS PAC ID: 4981599792
Enrollment ID: I20040219000928
Provider NameSrini K Hejeebu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154316354
PECOS PAC ID: 0446147144
Enrollment ID: I20040227000868
Provider NameRashmi Goyal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336134535
PECOS PAC ID: 5193612802
Enrollment ID: I20040227000918
Provider NameDouglas Jay Federman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427043629
PECOS PAC ID: 2466349923
Enrollment ID: I20040301000824
Provider NameJoan M Duggan
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1891780300
PECOS PAC ID: 5193612554
Enrollment ID: I20040301000943
Provider NameRonald J Wainz
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447256839
PECOS PAC ID: 2860389905
Enrollment ID: I20040303000014
Provider NameAlamdar Kazmi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457361768
PECOS PAC ID: 5698663847
Enrollment ID: I20040309000424
Provider NameVernon D Reynolds
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174600852
PECOS PAC ID: 6406744655
Enrollment ID: I20040309000436
Provider NameChristine A Utley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457347528
PECOS PAC ID: 6901794114
Enrollment ID: I20040309000844
Provider NameRosemary Karen Reiter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336133487
PECOS PAC ID: 8426946534
Enrollment ID: I20040309001499
Provider NameElaine J Edwards
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568413581
PECOS PAC ID: 1052209012
Enrollment ID: I20040310000423
Provider NameRena Zimmerman
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1851350318
PECOS PAC ID: 9537058417
Enrollment ID: I20040311000183
Provider NameJun Cao
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295707057
PECOS PAC ID: 2466341664
Enrollment ID: I20040315000680
Provider NameAjay Malik
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1710974878
PECOS PAC ID: 3577453091
Enrollment ID: I20040318000475
Provider NameThomas A Rooney
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1073507281
PECOS PAC ID: 1951291350
Enrollment ID: I20040318001072
Provider NameAndrew B Casabianca
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770584732
PECOS PAC ID: 5698665982
Enrollment ID: I20040318001720
Provider NameJamie Lyn Kaiser
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881692713
PECOS PAC ID: 1951292622
Enrollment ID: I20040323000094
Provider NameGarth David Phibbs
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1205817939
PECOS PAC ID: 5395637094
Enrollment ID: I20040326001318
Provider NamePatti S Leupp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851364954
PECOS PAC ID: 4486546710
Enrollment ID: I20040330000014
Provider NameDavid C Ervin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1306856042
PECOS PAC ID: 7315931094
Enrollment ID: I20040414000706
Provider NameAllan Maier Rubin
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528060456
PECOS PAC ID: 4284539982
Enrollment ID: I20040414000789
Provider NameJean Naida Peyton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699750364
PECOS PAC ID: 6406841147
Enrollment ID: I20040420000848
Provider NameChristopher Allen Foetisch
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780681692
PECOS PAC ID: 0749276822
Enrollment ID: I20040423000226
Provider NameRichard Simman
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1760448740
PECOS PAC ID: 0042206005
Enrollment ID: I20040423000901
Provider NameMargaret Guido
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396766705
PECOS PAC ID: 4587653845
Enrollment ID: I20040511000874
Provider NameAnn Rhee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073515870
PECOS PAC ID: 0446240717
Enrollment ID: I20040518000028
Provider NameAmber E Root
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235227646
PECOS PAC ID: 3173513454
Enrollment ID: I20040518000105
Provider NameTodd Alan Wisuri
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083604250
PECOS PAC ID: 3779564067
Enrollment ID: I20040524001466
Provider NameVicki A Ramsey-williams
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1467405043
PECOS PAC ID: 0446231658
Enrollment ID: I20040525000847
Provider NameJay R Jindal
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1629063599
PECOS PAC ID: 2466433495
Enrollment ID: I20040526000813
Provider NameMohammed Rafeeq
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1235124504
PECOS PAC ID: 1557342490
Enrollment ID: I20040601000401
Provider NameNina M Garritano
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346248234
PECOS PAC ID: 3274437967
Enrollment ID: I20040604000970
Provider NameJane Mannag Zamora Rodgers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710991260
PECOS PAC ID: 9335122357
Enrollment ID: I20040610001188
Provider NameAmer Arshad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710970652
PECOS PAC ID: 5698759215
Enrollment ID: I20040614000306
Provider NameSamer Obri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700879657
PECOS PAC ID: 0042294688
Enrollment ID: I20040614000501
Provider NameThomas J Papadimos
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720070956
PECOS PAC ID: 7315921897
Enrollment ID: I20040614000829
Provider NameFuad Elhusain-elnegres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972502995
PECOS PAC ID: 1052396488
Enrollment ID: I20040621001125
Provider NameDanine Lajiness-polosky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578531000
PECOS PAC ID: 4981680527
Enrollment ID: I20040625000128
Provider NameClaude D Newton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558369421
PECOS PAC ID: 3577549872
Enrollment ID: I20040628000441
Provider NameMohammad Adel Gad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801891692
PECOS PAC ID: 7315923547
Enrollment ID: I20040628000768
Provider NameMichael M Servoss
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124026331
PECOS PAC ID: 5799689477
Enrollment ID: I20040702000797
Provider NameCatherine G Carrigan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740250158
PECOS PAC ID: 5294713756
Enrollment ID: I20040711000000
Provider NameSanjiv Kumar Josh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942209614
PECOS PAC ID: 6709856537
Enrollment ID: I20040729000275
Provider NamePatrick W Mccormick
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1124021514
PECOS PAC ID: 3072409358
Enrollment ID: I20040809000981
Provider NameGregory C Kasper
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1245232602
PECOS PAC ID: 6103890801
Enrollment ID: I20040819001105
Provider NameDaniel J Schoeck
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1972501013
PECOS PAC ID: 6709780497
Enrollment ID: I20040907001321
Provider NameDavid E Winner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285627125
PECOS PAC ID: 7012983091
Enrollment ID: I20040909001452
Provider NameBeth Alexander Besaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013900950
PECOS PAC ID: 1658347638
Enrollment ID: I20040909001457
Provider NameLalaine E Mattison
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1366440224
PECOS PAC ID: 0648251736
Enrollment ID: I20040910000103
Provider NameFarzana Nasir Tausif
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174529861
PECOS PAC ID: 3971576059
Enrollment ID: I20040914000707
Provider NameKay A Smith
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1497753297
PECOS PAC ID: 2264420769
Enrollment ID: I20040916000032
Provider NameLauren L Peterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669490140
PECOS PAC ID: 8820066541
Enrollment ID: I20040921000579
Provider NameAzedine Medhkour
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1437154424
PECOS PAC ID: 8820058357
Enrollment ID: I20041018001276
Provider NameJoseph J Sferra
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659374502
PECOS PAC ID: 5799698643
Enrollment ID: I20041105000357
Provider NameDawn Deanna Hoffman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770535510
PECOS PAC ID: 8921061094
Enrollment ID: I20041109001046
Provider NamePeter J Montrie
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144207895
PECOS PAC ID: 9739142803
Enrollment ID: I20041109001058
Provider NameRalph C Whalen
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1447242698
PECOS PAC ID: 6901897115
Enrollment ID: I20041116001050
Provider NameLori Lynn Hockenberry
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407840721
PECOS PAC ID: 0042274102
Enrollment ID: I20041117001206
Provider NameJamie Nash
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013915982
PECOS PAC ID: 4688638695
Enrollment ID: I20041118000356
Provider NameRobin Lynn Smale
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902808975
PECOS PAC ID: 2860457819
Enrollment ID: I20041201000586
Provider NameNadja Barnett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871551663
PECOS PAC ID: 2365408937
Enrollment ID: I20041206000381
Provider NameJohn P Pigott
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1700878956
PECOS PAC ID: 5991796104
Enrollment ID: I20041207000373
Provider NamePatrick William White
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619970548
PECOS PAC ID: 1850204702
Enrollment ID: I20041213000000
Provider NameBarbara C Gray
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295733129
PECOS PAC ID: 1759349046
Enrollment ID: I20050104000007
Provider NameDayna F Mohammadione
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871595801
PECOS PAC ID: 2769430495
Enrollment ID: I20050110000088
Provider NameLisa G Gill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487658308
PECOS PAC ID: 6204884802
Enrollment ID: I20050111000232
Provider NameMahdi Doumet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801880471
PECOS PAC ID: 1557319266
Enrollment ID: I20050120000601
Provider NameSteven William Mccornack
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669459772
PECOS PAC ID: 6204885718
Enrollment ID: I20050121000257
Provider NameKendra K Ondrus
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295720357
PECOS PAC ID: 3678523982
Enrollment ID: I20050125000507
Provider NameDavid J Witt
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780693192
PECOS PAC ID: 3375594542
Enrollment ID: I20050204000194
Provider NameJayne Marie Roth
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1366441099
PECOS PAC ID: 5193777837
Enrollment ID: I20050210000738
Provider NameBouchra Salamah Doumet
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164407532
PECOS PAC ID: 9739132267
Enrollment ID: I20050224000759
Provider NameJames Keith Randolph
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922092485
PECOS PAC ID: 1456304799
Enrollment ID: I20050225000667
Provider NameSusan R Sommer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1720086598
PECOS PAC ID: 1355394446
Enrollment ID: I20050301000668
Provider NameCecile Y Normand
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346248218
PECOS PAC ID: 6305899295
Enrollment ID: I20050303000180
Provider NameBradley Joseph Vargo
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1902807118
PECOS PAC ID: 8628961919
Enrollment ID: I20050309001058
Provider NamePatricia Anne Deming
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457387938
PECOS PAC ID: 8123075181
Enrollment ID: I20050401000802
Provider NameGwendolyn L Colyer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063485241
PECOS PAC ID: 9234186503
Enrollment ID: I20050407001235
Provider NameBrenda Anne Barshel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417959263
PECOS PAC ID: 1254378649
Enrollment ID: I20050418000233
Provider NameThyagarajan Subramanian
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003864091
PECOS PAC ID: 2567409956
Enrollment ID: I20050418000283
Provider NameLorrie Ann Elchert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992775142
PECOS PAC ID: 7012955859
Enrollment ID: I20050421000646
Provider NameKathryn S Watson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417031733
PECOS PAC ID: 5799723474
Enrollment ID: I20050422000342
Provider NameShirley R Redfern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265419048
PECOS PAC ID: 7618916826
Enrollment ID: I20050427000910
Provider NameRenee E Mason
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063404267
PECOS PAC ID: 0244279248
Enrollment ID: I20050428001044
Provider NameAnne M Ruch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033111083
PECOS PAC ID: 3577502582
Enrollment ID: I20050428001077
Provider NameTruman F Weigand
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184729386
PECOS PAC ID: 2961442389
Enrollment ID: I20050505000256
Provider NameLori Creadon Wright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134128044
PECOS PAC ID: 0446291223
Enrollment ID: I20050523000268
Provider NameNorman G Zavela
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689678625
PECOS PAC ID: 0941242283
Enrollment ID: I20050526000060
Provider NameMary Ann T Gardner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861422206
PECOS PAC ID: 3870536857
Enrollment ID: I20050610000023
Provider NameMary P Clemons
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285661074
PECOS PAC ID: 3375587405
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Provider TypePractitioner - Nurse Practitioner
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Provider NameJordan E Boss
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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PECOS PAC ID: 4789052762
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Provider NameCurtis Tyler Loehr
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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PECOS PAC ID: 4284003591
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Provider NameCrystalyn A Marchese
Provider TypePractitioner - Nurse Practitioner
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PECOS PAC ID: 0840605911
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Provider NameVictoria M Kim
Provider TypePractitioner - Surgical Oncology
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Nurse Practitioner
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Provider NameKelli Alisa Fischer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
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Provider NameJillian Vanhouten
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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PECOS PAC ID: 8527439629
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Provider NameKristoffer Bradley Sugg
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Provider TypePractitioner - Pediatric Medicine
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider NameShelby Lane
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Provider NameRichard Matter
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Nurse Practitioner
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider NameRachel Sossaman Obrock
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Provider NameWinston Adrian Mitchell
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Provider NameIra S Hamilton
Provider TypePractitioner - Obstetrics/gynecology
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PECOS PAC ID: 3870887417
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Provider NameAlon Moshe Geva
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Provider TypePractitioner - Obstetrics/gynecology
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Provider NameMegan Ann Whitacre
Provider TypePractitioner - Nurse Practitioner
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Provider NameJoel L Kileny
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Provider NameBilal Shafiq Zaidi
Provider TypePractitioner - Anesthesiology
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Provider NameEmmanuel Uwalaka
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629713532
PECOS PAC ID: 7517345580
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Provider NameKristine A Kribs
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073682050
PECOS PAC ID: 4385627157
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770930380
PECOS PAC ID: 7810283652
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Provider NameCaleb D Andrews
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194417709
PECOS PAC ID: 0749635373
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Provider NameIvi Latifi
Provider TypePractitioner - Anesthesiology
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PECOS PAC ID: 0749647550
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Provider NameXiaoyi N Yu
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider NameAmala Reddy Ambati
Provider TypePractitioner - Rheumatology
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Provider NameAhmad A Alratroot
Provider TypePractitioner - Pulmonary Disease
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Provider NameRehab Talat
Provider TypePractitioner - Otolaryngology
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Provider TypePractitioner - Nurse Practitioner
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Provider NameMegan Elizabeth Schlachter-walter
Provider TypePractitioner - Nurse Practitioner
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Enrollment ID: I20231122000830
Provider NameAndrew J Rosko
Provider TypePractitioner - Otolaryngology
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Provider NameItiya S Felix
Provider TypePractitioner - Nurse Practitioner
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PECOS PAC ID: 2668829318
Enrollment ID: I20231129002826
Provider NameJenna Maria Wychocki
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265129860
PECOS PAC ID: 1153779970
Enrollment ID: I20231204002880
Provider NameAshley Marie Dibardino
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003694704
PECOS PAC ID: 7416304118
Enrollment ID: I20231208003233
Provider NameMohan Dutt
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1912320425
PECOS PAC ID: 7719243633
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Provider NameCristian Petrisor Avasilcai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720743545
PECOS PAC ID: 7517353196
Enrollment ID: I20240116000436
Provider NameCarol A Kennedy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255323291
PECOS PAC ID: 1759522188
Enrollment ID: I20240118001882
Provider NameKelsey A Scott
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558042002
PECOS PAC ID: 8325482649
Enrollment ID: I20240214003645
Provider NameMatthew L Myers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154002350
PECOS PAC ID: 2769826080
Enrollment ID: I20240214003751
Provider NameRobert D Taylor
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1205842382
PECOS PAC ID: 1951597301
Enrollment ID: I20240215003512
Provider NameDavid Benjamin Killian
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104507482
PECOS PAC ID: 4789028697
Enrollment ID: I20240220000413
Provider NameJacquelyn Vanzile
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003408428
PECOS PAC ID: 7719322080
Enrollment ID: I20240226003311
Provider NameEvan R Guffey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144901364
PECOS PAC ID: 3173969557
Enrollment ID: I20240307001846
Provider NameXiao Lin
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1750382586
PECOS PAC ID: 7810993995
Enrollment ID: I20240312003179
Provider NameHeather Brunk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922697168
PECOS PAC ID: 2062812951
Enrollment ID: I20240313001170
Provider NameRyan Martinez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710668983
PECOS PAC ID: 6901243229
Enrollment ID: I20240322000866
Provider NameHisham Alhajala
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578055232
PECOS PAC ID: 1658628276
Enrollment ID: I20240328001246
Provider NameAlexander Ghannam
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1043715501
PECOS PAC ID: 9234489139
Enrollment ID: I20240328003349
Provider NamePhillip Jon Stokey
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528552924
PECOS PAC ID: 8022361971
Enrollment ID: I20240328003676
Provider NameChasity Ann Kendall
Provider TypePractitioner - Nurse Practitioner
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PECOS PAC ID: 5890132427
Enrollment ID: I20240329001362
Provider NameDaniel Harrison
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952082141
PECOS PAC ID: 5991143778
Enrollment ID: I20240401000195
Provider NameMuna Shaaeli
Provider TypePractitioner - Internal Medicine
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PECOS PAC ID: 0446672166
Enrollment ID: I20240402003525
Provider NameFay Patsy Catacutan Miranda
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093496119
PECOS PAC ID: 2668810987
Enrollment ID: I20240405001717
Provider NameJulia Kauffman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255012589
PECOS PAC ID: 2567800709
Enrollment ID: I20240405002991
Provider NameJordan Ashleigh Vaughan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497510846
PECOS PAC ID: 4385082221
Enrollment ID: I20240410003346
Provider NameRobert Sharron
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861046526
PECOS PAC ID: 3375972284
Enrollment ID: I20240412000758
Provider NameRahul Rao
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215467246
PECOS PAC ID: 1052680261
Enrollment ID: I20240412002888
Provider NameJennifer Pelwecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154180909
PECOS PAC ID: 5597104349
Enrollment ID: I20240412003649
Provider NamePenny Merkle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316336431
PECOS PAC ID: 4789909193
Enrollment ID: I20240429001492
Provider NameSamuel Q Caldwell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376129114
PECOS PAC ID: 3971979303
Enrollment ID: I20240511000142
Provider NameDoug W Rumbaugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164274429
PECOS PAC ID: 9537500046
Enrollment ID: I20240515002735
Provider NameSumayya Naz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699327346
PECOS PAC ID: 8022442037
Enrollment ID: I20240601000292
Provider NameChristina A Trost
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952781163
PECOS PAC ID: 1951615939
Enrollment ID: I20240611003124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Promedica Central Physicians is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Promedica Central Physicians
100 Madison Ave, Msc-s38805,
Toledo, OH 43604-1531

Ph: () -
Promedica Central Physicians
100 Madison Ave, Msc-s38805,
Toledo, OH 43604-1531

Ph: (567) 585-1964

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.