PROMEDICA GENITO-URINARY SURGEONS LLC
NPI 1477980753
Urology in Fremont, OH

Active since October 02, 2013
605 3RD AVE STE A, SUITE B, FREMONT, OH 43420(419) 332-7221(419) 332-7225 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1477980753) is a healthcare organization registered as an urology in Fremont, Ohio and active in the NPI registry since October 2013. The organization lists Amy L Dwyer, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1477980753
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePROMEDICA GENITO-URINARY SURGEONS LLC
Location Address605 3RD AVE STE A, SUITE BFremont, OH 43420-3269
Mailing Address605 3rd Ave Ste A, Suite BFremont, OH 43420-3269 · (419) 332-7221 · Fax (419) 332-7225
Fax(419) 332-7225
Organization SubpartNo
Authorized OfficialAmy L DwyerCredentialing Supervisor · (419) 824-7334
Enumeration DateOctober 2, 2013
NPI 1477980753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
605 3RD AVE STE A, Fremont, OH 43420

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

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

Otolaryngology
605 3RD AVE STE A
FREMONT, OH 43420

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 1477980753. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Promedica Genito-Urinary Surgeons LLC located?

Promedica Genito-Urinary Surgeons LLC is located at 605 3rd Ave Ste A Suite B, Fremont, OH 43420. The listed phone number is (419) 332-7221.

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

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

When was this NPI record last updated?

The NPPES record for Promedica Genito-Urinary Surgeons LLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.