PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
NPI 1902185655
Internal Medicine - Cardiovascular Disease in Fremont, OH
NPI Status: Active since August 12, 2011
Contact Information
715 S TAFT AVE
SUITE 195
FREMONT, OH
ZIP 43420
Phone: (419) 333-9533
Fax: (419) 333-9537
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 36D2087379
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-23-2026
About PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
This page provides the complete NPI Profile along with additional information for Promedica Northwest Ohio Cardiology Consultants, Llc, an internist established in Fremont, Ohio operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1902185655 assigned on August 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amy L Bahnsen (Credentialing Supervisor)
- NPI
- 1902185655
- Provider Name
- PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
- Entity Type
- Organization
- Location Address
- 715 S TAFT AVE SUITE 195 FREMONT, OH 43420
- Location Phone
- (419) 333-9533
- Location Fax
- (419) 333-9537
- Mailing Address
- 715 S TAFT AVE SUITE 195 FREMONT, OH 43420
- Mailing Phone
- (419) 333-9533
- Mailing Fax
- (419) 333-9537
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2011
- Last Update Date
- 08-12-2011
- Code Navigator
An internist like Promedica Northwest Ohio Cardiology Consultants, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2087379
- Facility Type
- Hospital
- Certificate Effective Date
- November 24, 2024
- Certificate Expiration Date
- November 23, 2026
- Laboratory Director
- NIKI STAMOS KOTEVSKI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Promedica Northwest Ohio Cardiology Consultants, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 1 | 8 | 5 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 2 | 8 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 2 + 8 + 1 + 0 + 6 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1902185655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538118013 | JAIME L FOX PA-C Individual | Physician Assistant (Medical) | 715 S TAFT AVE FREMONT, OH 43420 (612) 940-3709 |
| 1194771964 | DR. LARRY VON KUSTER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1750329652 | ALKA JOG, M.D. Organization | Anesthesiology | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1366483224 | DR. SANJAY SANGAL M.D. Individual | Anesthesiology | 715 S TAFT AVE FREMONT, OH 43420 (419) 334-6624 |
| 1376579482 | DR. MICHAEL L. CLARK M.D. Individual | Anesthesiology | 715 S TAFT AVE FREMONT, OH 43420 (419) 334-6624 |
| 1255430872 | MS. SARA M RIDENER SLP Individual | Speech-Language Pathologist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1194824821 | MS. TRICIA L MICHAEL PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 447-7203 |
| 1407955149 | MR. FREDERICK J GARCIA PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1073612743 | MS. KIMBERLY S HUTTON PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1356440044 | MS. LARAINE A BAUER PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1558460253 | MS. MARGARET A MATHEWS PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1497854103 | MS. SHANNON M REARDON PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1295826964 | MS. ERIN S SCHMIDT SLP Individual | Speech-Language Pathologist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1407941198 | DR. SUZANNE GRACE AMIDON MAGRO D.O. Individual | Emergency Medicine | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1962590653 | MS. TONYA S HOHMAN PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1801985668 | MS. BONNIE J BOWLUS PT Individual | Physical Therapist | 715 S TAFT AVE FREMONT, OH 43420 (419) 332-7321 |
| 1578620621 | DR. RALPH WILLIAM TACK M.D., MPH Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 715 S TAFT AVE FREMONT, OH 43420 (419) 333-2738 |
| 1659421923 | MRS. LESLIE D MEYER MA, LPCC, LICDC Individual | Counselor (Professional) | 715 S TAFT AVE FREMONT, OH 43420 (419) 334-6619 |
| 1235282799 | MR. TALLY WILLIAM GALLOGLY LPCC, LICDC, SAP,CEA Individual | Counselor (Mental Health) | 715 S TAFT AVE FREMONT, OH 43420 (419) 334-6669 |
| 1922151513 | JEFF VOGEL LPCC Individual | Counselor (Professional) | 715 S TAFT AVE FREMONT, OH 43420 (419) 334-6619 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902185655, enumerated in the NPI registry as an "organization" on August 12, 2011
The provider is located at 715 S Taft Ave Suite 195 Fremont, Oh 43420 and the phone number is (419) 333-9533
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider's CLIA number is 36D2087379 for a "hospital" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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