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PROMEDICA GENITO-URINARY SURGEONS LLC
NPI 1366795221
Urology in Toledo, OH

Active since October 17, 2012
2120 W CENTRAL AVE, TOLEDO, OH 43606(419) 531-8558(419) 531-8798 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Oct 4, 2023, Feb 5, 2021 and 1 more (4 updates tracked since 2018).

About Promedica Genito-urinary Surgeons Llc NPPES

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

PROMEDICA GENITO-URINARY SURGEONS LLC (NPI 1366795221) is a healthcare organization registered as an urology in Toledo, Ohio and active in the NPI registry since October 2012. The organization lists Kristin Knueven, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366795221
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePROMEDICA GENITO-URINARY SURGEONS LLC
Location Address2120 W CENTRAL AVEToledo, OH 43606-3834
Mailing Address100 Madison Ave, Msc-s38805Toledo, OH 43604 · (844) 373-0871 · Fax (419) 885-3921
Phone(419) 531-8558
Fax(419) 531-8798
Organization SubpartNo
Authorized OfficialKristin KnuevenSupervisor · (567) 585-1969
Enumeration DateOctober 17, 2012
Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1366795221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2120 W CENTRAL AVE, Toledo, OH 43606
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Other Identifiers 1

Medicaid0076667OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

PHILIP WONG MD
Urology
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
DR. CARIN V HOPPS M.D.
Urology
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
DR. HUMPHREY ODEI ATIEMO MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
MISTY A OSBORNE PA
Physician Assistant (Medical)
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
HEATHER LYNN CHANEY FNP-BC
Nurse Practitioner (Family)
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
DR. SARAH KATHRYN SIMMONS M.D.
Urology
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
MRS. TAKEIA LACHE RILEY CNP
Nurse Practitioner
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558
ASHWIN RAGHAVAN
Urology
2120 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 531-8558

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 Genito-Urinary Surgeons LLC's NPI number?

The NPI number for Promedica Genito-Urinary Surgeons LLC is 1366795221. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Promedica Genito-Urinary Surgeons LLC located?

Promedica Genito-Urinary Surgeons LLC is located at 2120 W Central Ave, Toledo, OH 43606. The listed phone number is (419) 531-8558.

What is Promedica Genito-Urinary Surgeons LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Promedica Genito-Urinary Surgeons LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 2 other insurers list Promedica Genito-Urinary Surgeons LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Promedica Genito-Urinary Surgeons LLC was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.