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Promedica Central Corporation of Michigan

Family Medicine Physician in Toledo, OH · enumerated 2006 · authorized official Tanya Wines, Director, System Credentialing.

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

National Provider Identifier

1588624696

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Registry record

Entity type Organization (Type 2)
Legal business name Promedica Central Corporation of Michigan
Practice address 100 Madison Ave, Msc-S38805, Toledo, OH, 43604
Phone (844) 373-0871
Fax (419) 885-3921
Enumeration date Mar 23, 2006
Last updated in NPPES Oct 4, 2023

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Tanya Wines
Title Director, System Credentialing
Phone (567) 585-0422

Other identifiers

Identifier Type State Issuer
160D610660 Other MI BCBSMI
500E811000 Other MI BCBSMI
040D610940 Other MI BCBSMI
080E810210 Other MI BCBSMI
CD9268 Other MI RRMC
2002924 Medicaid OH -

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

What is the NPI number for Promedica Central Corporation of Michigan?
The NPI for Promedica Central Corporation of Michigan is 1588624696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Promedica Central Corporation of Michigan?
NPPES lists Tanya Wines (Director, System Credentialing) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-04.