Promedica Central Corporation of Michigan
NPI 1588624696 · Family Medicine Physician · Toledo, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Promedica Central Corporation of Michigan is a Family Medicine Physician organization in Toledo, OH (NPI 1588624696).
Provider details
- NPI number
- 1588624696
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tanya Wines, Director, System Credentialing(567) 585-0422
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Promedica Central Corporation of Michigan's NPI number?
- Promedica Central Corporation of Michigan's National Provider Identifier (NPI) is 1588624696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Promedica Central Corporation of Michigan?
- Promedica Central Corporation of Michigan is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Promedica Central Corporation of Michigan located?
- Promedica Central Corporation of Michigan's practice location on file with NPPES is 100 Madison Ave, Toledo, OH 43604.
- What is Promedica Central Corporation of Michigan's phone number?
- The practice phone number listed in the NPPES registry for Promedica Central Corporation of Michigan is (844) 373-0871.
- Does Promedica Central Corporation of Michigan accept Medicare?
- Promedica Central Corporation of Michigan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Promedica Central Corporation of Michigan?
- The authorized official listed on Promedica Central Corporation of Michigan's NPPES record is Tanya Wines, Director, System Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Promedica Central Corporation of Michigan's NPI active?
- Yes — Promedica Central Corporation of Michigan's NPI (1588624696) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.