Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Promedica Northwest Ohio Cardiology Consultants, LLC

Organization Cardiovascular Disease Physician · NPI 1639458383

Promedica Northwest Ohio Cardiology Consultants, LLC provides Cardiovascular Disease Physician services in Port Clinton, Ohio. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 Fulton St
Port Clinton, OH 43452-2001 Not confirmed with CMS for 15 years — call before visiting
Phone: (419) 734-3131
Fax: (419) 732-8217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1639458383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Bahnsen — Credentialing Supervisor · (419) 824-7334
NPI enumeratedAugust 12, 2011
Last updated in NPPESAugust 12, 2011
Mailing address615 Fulton St, Port Clinton, OH 43452-2001

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