Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Promedica Genito-Urinary Surgeons LLC

Organization Anesthesiology Physician · NPI 1366795221

Promedica Genito-Urinary Surgeons LLC is an Anesthesiology Physician in Toledo, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2120 W Central Ave
Toledo, OH 43606-3834
Phone: (419) 531-8558
Fax: (419) 531-8798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (OH)
Anesthesiology Physician Taxonomy 207L00000X (OH)
Physician Assistant Taxonomy 363A00000X (OH)
Nurse Practitioner Taxonomy 363L00000X (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X (OH)

Record details

NPI number1366795221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Knueven — Supervisor · (567) 585-1969
NPI enumeratedOctober 17, 2012
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address100 Madison Ave, Msc-S38805, Toledo, OH 43604

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