PROMEDICA CHILDREN'S SPECIALTIES
NPI 1083959522
Pediatrics - Pediatric Gastroenterology in Monroe, MI

Q: What is Promedica Central Physicians LLC's NPI number?

The NPI number for Promedica Central Physicians LLC is 1083959522. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider is doing business as Promedica Children's Specialties.

Q: What is Promedica Central Physicians LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since December 11, 2012

730 N MACOMB ST, SUITE 300, MONROE, MI 48162(419) 291-7010(419) 479-6917 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2021, Jul 18, 2019 (2 updates tracked since 2019).

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About Promedica Children's Specialties NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMEDICA CHILDREN'S SPECIALTIES (NPI 1083959522) is a healthcare organization registered as a pediatric gastroenterology in Monroe, Michigan and active in the NPI registry since December 2012. The organization lists Kristin Knueven, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083959522

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NamePROMEDICA CENTRAL PHYSICIANS LLC

Location Address730 N MACOMB ST, SUITE 300Monroe, MI 48162-2900

Mailing Address730 N Macomb St, Suite 300Monroe, MI 48162-2900 · (419) 291-7010 · Fax (419) 479-6917

Phone(419) 291-7010

Fax(419) 479-6917

Organization SubpartNo

Authorized OfficialKristin KnuevenCredentialing Supervisor · (567) 585-1969

Enumeration DateDecember 11, 2012

Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2021

✔ NPI 1083959522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

730 N MACOMB ST, Monroe, MI 48162

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Other Names 1

Doing Business AsPromedica Children's Specialties

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.

Otolaryngology

730 N MACOMB ST, SUITE 320
MONROE, MI 48162

Monroe County (734) 243-5020

MICHAEL J CHARBONEAU JR DO PLLC

Surgery

730 N MACOMB ST, SUITE 329
MONROE, MI 48162

Monroe County (734) 241-4245

LESLY POMPY MD

Pain Medicine (Interventional Pain Medicine)

730 N MACOMB ST, SUITE 410
MONROE, MI 48162

Monroe County (734) 242-9482

CARDIOLOGY CONSULTANTS OF MICHIGAN & OHIO, P.C.

Specialist

730 N MACOMB ST, STE #429
MONROE, MI 48162

Monroe County (734) 242-7060

JONATHAN E. PASKO,MD,PC

Pediatrics

730 N MACOMB ST, SUITE 324
MONROE, MI 48162

Monroe County (734) 242-2440

PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

730 N MACOMB ST, SUITE 429
MONROE, MI 48162

Monroe County (734) 242-7060

MS. LISA M VICK PHARM D.

Pharmacist

730 N MACOMB ST
MONROE, MI 48162

Monroe County (734) 240-4100

ANGELA BURKHOLDER PA

Physician Assistant (Medical)

730 N MACOMB ST, #418
MONROE, MI 48162

Monroe County (734) 242-7902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Promedica Central Physicians LLC's NPI number?

The NPI number for Promedica Central Physicians LLC is 1083959522. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider is doing business as Promedica Children's Specialties.

Where is Promedica Central Physicians LLC located?

Promedica Central Physicians LLC is located at 730 N Macomb St Suite 300, Monroe, MI 48162. The listed phone number is (419) 291-7010.

What is Promedica Central Physicians LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Promedica Central Physicians LLC was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.