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Contact Information

PROMEDICA CHILDREN'S SPECIALISTS
100 MADISON AVE
MSC-S38805
TOLEDO, OH43604-1531
 Phone: 567-585-1969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PROMEDICA CHILDRENS SPECIALISTS · (Female)

NPI # 1245444959
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2007
Last updated 09/05/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2763620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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