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Promedica Genito-Urinary Surgeons LLC

Urology Physician in Archbold, OH · enumerated 2013 · authorized official Amy Dwyer, Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477990893

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Registry record

Entity type Organization (Type 2)
Legal business name Promedica Genito-Urinary Surgeons LLC
Practice address 121 Westfield Dr, Archbold, OH, 43502
Phone (537) 444-4748
Fax (567) 444-4750
Enumeration date May 24, 2013
Last updated in NPPES May 24, 2013

Taxonomy & classification

208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Dwyer
Title Credentialing Supervisor
Phone (419) 824-7334

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-24. Verify at npiregistry.cms.hhs.gov.
Where is Promedica Genito-Urinary Surgeons LLC located?
The practice location on file with NPPES is in Archbold, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-24.