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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 CHILDREN'S SPECIALISTS

NPI # 1245444959
LBN Legal business name PROMEDICA CHILDREN'S SPECIALISTS
Authorized official TANYA WINES - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 09/05/2025 - About 9 months ago
Identifiers
OH Medicaid 2763620
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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