Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Promedica Multi Specialty Physicians

Organization Family Medicine Physician · NPI 1306105150

Promedica Multi Specialty Physicians is a Family Medicine Physician in Toledo, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
Specialties on file
12

Practice location Address checks out

100 Madison Ave MSC-S38805
Toledo, OH 43604-1531
Phone: (567) 585-1964
Fax: (419) 824-7359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (OH)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X (OH)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Otolaryngology Physician Taxonomy 207Y00000X
Neurology Physician Taxonomy 2084N0400X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X (OH)
Vascular Surgery Physician Taxonomy 2086S0129X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1306105150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorraine McCune — Credentialing Specialist · (567) 585-1964
NPI enumeratedMay 15, 2012
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address100 Madison Ave, Msc-S38805, Toledo, OH 43604-1531

Other providers in Toledo