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PROMEDICA HEALTH SYSTEM
NPI 1285172163
Physician Assistant - Medical in Sylvania, OH

Active since February 10, 2017
5308 HARROUN RD STE 280, SYLVANIA, OH 43560(419) 824-1785(419) 824-5953 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Promedica Health System NPPES

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

PROMEDICA HEALTH SYSTEM (NPI 1285172163) is a healthcare organization registered as a medical in Sylvania, Ohio and active in the NPI registry since February 2017. The organization lists Courtney Moyer, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1285172163
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePROMEDICA HEALTH SYSTEM
Location Address5308 HARROUN RD STE 280Sylvania, OH 43560-2190
Mailing Address157 N State Route 510Fremont, OH 43420-9224 · (419) 217-1614
Phone(419) 824-1785
Fax(419) 824-5953
Organization SubpartNo
Authorized OfficialCourtney MoyerPhysician Assistant · (419) 824-1785
Enumeration DateFebruary 10, 2017
✔ NPI 1285172163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50.004996RX
5308 HARROUN RD STE 280, Sylvania, OH 43560
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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 9

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

MRS. KATHERINE HAY ROMP PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 524-5668
KRISTOFFER BRADLEY SUGG MD, PHD
Surgery (Plastic and Reconstructive Surgery)
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
ADAM C WALTER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 824-5633
NICOLE RENEE LASICH
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
SHOSHANA WOO AMBANI M.D.
Plastic Surgery
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
HALEY KOVACH PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 824-5668
LAURIE A BOUDREAUX PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
ERIN SCHROEDER CNP
Nurse Practitioner
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080

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 Health System's NPI number?

The NPI number for Promedica Health System is 1285172163. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Promedica Health System located?

Promedica Health System is located at 5308 Harroun Rd Ste 280, Sylvania, OH 43560. The listed phone number is (419) 824-1785.

What is Promedica Health System's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Promedica Health System was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.