OrganizationActive
Promedica Genito-Urinary Surgeons LLC
NPI 1477980753 · Urology Physician · Fremont, OH
Promedica Genito-Urinary Surgeons LLC is a Urology Physician organization in Fremont, OH (NPI 1477980753).
Provider details
- NPI number
- 1477980753
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Dwyer, Credentialing Supervisor(419) 824-7334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 3rd Ave Ste a
Suite B
Fremont, OH 43420-3269
Phone: (419) 332-7221
Fax: (419) 332-7225
Street-level locationGet directions
Mailing address
605 3rd Ave Ste a
Fremont, OH 43420-3269
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Frequently asked questions
- What is Promedica Genito-Urinary Surgeons LLC's NPI number?
- Promedica Genito-Urinary Surgeons LLC's National Provider Identifier (NPI) is 1477980753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Promedica Genito-Urinary Surgeons LLC?
- Promedica Genito-Urinary Surgeons LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Promedica Genito-Urinary Surgeons LLC located?
- Promedica Genito-Urinary Surgeons LLC's practice location on file with NPPES is 605 3rd Ave Ste a, Fremont, OH 43420-3269.
- What is Promedica Genito-Urinary Surgeons LLC's phone number?
- The practice phone number listed in the NPPES registry for Promedica Genito-Urinary Surgeons LLC is (419) 332-7221.
- Who is the authorized official for Promedica Genito-Urinary Surgeons LLC?
- The authorized official listed on Promedica Genito-Urinary Surgeons LLC's NPPES record is Amy Dwyer, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Promedica Genito-Urinary Surgeons LLC's NPI active?
- Yes — Promedica Genito-Urinary Surgeons LLC's NPI (1477980753) is active in the NPPES registry as of the last update on 2013-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.