OrganizationActive
Promedica Central Physicians, LLC
NPI 1841485802 · Otolaryngology Physician · Fostoria, OH
Provider details
- NPI number
- 1841485802
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Govan, Credentialing Supervisor(419) 824-7221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
501 Van Buren St
Suite 206
Fostoria, OH 44830-1534
Phone: (419) 435-5454
Fax: (419) 436-6623
Street-level locationGet directions
Mailing address
501 Van Buren St
Fostoria, OH 44830-1534
Other names (DBA / former)
- Doing business as
- Northwest Ohio Ent Consultants
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2008-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.