ST. RITA'S MEDICAL CENTER (NPI# 1134393226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134393226 |
| Entity Type | Organization |
| Organization Name | ST. RITA'S MEDICAL CENTER |
| Other Organization Name | EASTSIDE URGENT CARE |
| Practice Address |
967 Bellefontaine Ave Lima OH 45804-2888 |
| Mailing Address |
Po Box 951999 Cleveland OH 44193-0021 |
| Practice Telephone | 4199965895 |
| Practice Fax Number | 4199965896 |
| Mailing Telephone | 4199965114 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | MR. BRIAN SMITH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192269502 |
| Authorized Official Credential | N/A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EastSide Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275764607 | St. Rita's Medical Center | General Acute Care Hospital | 308 S Gilbert St Apt 2, Ada, OH 45810-1350 | 2009-08-03 |
| 1982802971 | St. Rita's Medical Center | Family Medicine | 825 S Cable Rd Unit A, Lima, OH 45805-3467 | 2007-07-11 |
| 1114104346 | St. Rita's Medical Center | Otolaryngology | 770 W High St, Suite 480, Lima, OH 45801-3990 | 2008-01-30 |
| 1275606873 | St. Rita's Medical Center | Pediatrics | 730 W Market St, Lima, OH 45801-4602 | 2006-11-15 |
| 1487674297 | St. Rita's Medical Center | Clinic/Center | 1800 E 5th St, Delphos, OH 45833-9139 | 2006-07-21 |
| 1033134390 | St. Rita's Medical Center | Psychologist | 830 W High St, Suite 260, Lima, OH 45801-3971 | 2006-07-13 |
| 1053365882 | St. Rita's Medical Center | Internal Medicine | 830 W High St, Su. 380, Lima, OH 45801-3971 | 2006-05-19 |
| 1215994777 | St. Rita's Medical Center | Neuromusculoskeletal Medicine, Sports Medicine | 770 W High St, Suite 390, Lima, OH 45801-3990 | 2006-04-28 |
| 1992705669 | St. Rita's Medical Center | Internal Medicine | 830 W High St, Ste. 208, Lima, OH 45801-3971 | 2005-07-26 |
| Street Address |
967 BELLEFONTAINE AVE |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317073 | Hussein Ibrahim Kashk | Emergency Medicine | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2005-06-23 |
| 1235647033 | Stephanie Lynn Rodriguez | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804 | 2018-01-15 |
| 1083141337 | Adam Robert Osterhage | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804 | 2017-05-17 |
| 1689081077 | Timothy Mosher | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2014-07-17 |
| 1447505854 | Daniel Kohls | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2012-07-23 |
| 1891065785 | Abigail Nartker | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2012-01-09 |
| 1811292659 | Belinda Marie Laney | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2011-01-25 |
| 1538326913 | Erin A Yarkosky | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2008-05-22 |
| 1902091572 | The Pediatric Center | Pediatrics | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-09-07 |
| 1508059825 | Stephen Patrick Casebolt | Nurse Practitioner | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-08-21 |
| Find all providers in the same location | ||||
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144495151 | St Rita's Medical Center | Emergency Medicine | 2195 Allentown Rd, Lima, OH 45805-1705 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676897 | Donald Ray Woodyard Jr. | Emergency Medicine | 6283 Eberstark Dr, Columbus, OH 43235-5087 | 2019-06-05 |
| 1538675129 | Village of Sardinia | Emergency Medicine | 169 Winchester St, Sardinia, OH 45171-9326 | 2017-12-19 |
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1568778140 | David Carl Ernst | Emergency Medicine | 12817 W Lake Rd, Vermilion, OH 44089-3051 | 2010-08-20 |
| 1205070869 | Candace L Leigh | Emergency Medicine | 3050 Taylor Ave, Cincinnati, OH 45220-2508 | 2009-04-27 |
| 1861551269 | Paul Michael Matus | Emergency Medicine | 90 Fairway Dr, Oberlin, OH 44074-1420 | 2006-12-08 |
| 1669569547 | Daniel R. Colopy | Emergency Medicine | 14 Health Dr, Chillicothe, OH 45601-8604 | 2006-10-10 |
| 1073623500 | Bes of Ohio, LLC, Dba Medgroup | Emergency Medicine | 6420 York Rd, Parma Heights, OH 44130-3032 | 2006-08-30 |
| 1487689337 | Frederick Richard Haussman | Emergency Medicine | 915 W. Michigan St., Sidney, OH 45365 | 2006-07-11 |
| 1740214113 | Majid A Qureshi | Emergency Medicine | 7345 Kings Gate Way, West Chester, OH 45069 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
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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.