LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1093972614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093972614 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | LIMA PEDIATRICS |
| Practice Address |
1005 Bellefontaine Ave Ste 245 Lima OH 45804-2884 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988230 |
| Practice Fax Number | 4199988231 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JEFFREY UTZ (DIRECTOR OF LMP) |
| Authorized Official Telephone | 4199984668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| Lima Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275053027 | Lima Memorial Professional Corporation | Obstetrics & Gynecology | 510 E Spring St, Saint Marys, OH 45885-2342 | 2017-06-22 |
| 1679021745 | Lima Memorial Professional Corporation | Clinic/Center | 528 W Market St Ste 200b, Lima, OH 45801-4762 | 2016-09-16 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1104190578 | Lima Memorial Professional Corporation | Physician Assistant | 915 Michigan St Ste 203, Sidney, OH 45365-2401 | 2012-03-02 |
| 1295046480 | Lima Memorial Professional Corporation | Family Medicine | 1005 Bellefontaine Ave Ste 100, Lima, OH 45804-2871 | 2010-06-23 |
| 1508023896 | Lima Memorial Professional Corporation | Specialist | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2008-05-22 |
| 1225295835 | Lima Memorial Professional Corporation | Nurse Practitioner | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2008-05-21 |
| 1720020589 | Lima Memorial Professional Corporation | Internal Medicine | 200 Saint Clair St., St Marys, OH 45885-2400 | 2006-06-12 |
| 1598719817 | Lima Memorial Professional Corporation | Family Medicine | 1251 Lincoln Hwy Ste 1, Wapakoneta, OH 45895-7356 | 2006-05-20 |
| 1124680509 | Lima Memorial Professional Corporation | Internal Medicine | 375 N Eastown Rd Ste C, Lima, OH 45807-2209 | 2019-07-05 |
| Street Address |
1005 BELLEFONTAINE AVE STE 245 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533271 | Melody Stewart-cyrus | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2006-01-18 |
| 1457733925 | Gina Marquis | Nurse Practitioner | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2015-06-22 |
| 1508122805 | Ufuoma Onyemachi | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2012-04-11 |
| 1750598843 | Jill Lynn Howey | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2007-05-17 |
| 1386799427 | Linda J Kerr | Nurse Practitioner | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316366099 | Jennifer Lynne Whitehead | Pediatrics | 830 W High St Ste 102, Lima, OH 45801-3972 | 2014-04-10 |
| 1306138458 | Kidz Paradise Pediatrics | Pediatrics | 3275 W Elm St, Lima, OH 45805-2518 | 2011-05-09 |
| 1598775801 | Tilly Effie Duncan-sampson | Pediatrics | 1220 E. Elm Street, Suite 240, Lima, OH 45804 | 2006-08-09 |
| 1801246558 | Jason Andrew Metcalf | Pediatrics | 730 W Market St, Lima, OH 45801-4602 | 2016-06-14 |
| 1013382068 | Lima Memorial Professional Corporation | Pediatrics | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2015-12-02 |
| 1508122805 | Ufuoma Onyemachi | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2012-04-11 |
| 1386805679 | Teresa Jean Byrne | Pediatrics | 830 W High St, Suite 102 and Suite 201, Lima, OH 45801 | 2008-06-19 |
| 1154589455 | New Century Pediatrics of Lima, Inc. | Pediatrics | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2008-05-23 |
| 1902091572 | The Pediatric Center | Pediatrics | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-09-07 |
| 1750598843 | Jill Lynn Howey | Pediatrics | 1005 Bellefontaine Ave Ste 245, Lima, OH 45804-2884 | 2007-05-17 |
| Find all providers in LIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.