LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1225295835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225295835 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | ADA LIFE MEDICAL CENTER |
| Practice Address |
520 W Lincoln Ave Ste A Ada OH 45810-9466 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4196342015 |
| Practice Fax Number | 4196349420 |
| 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| Ada Life Medical Center | 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 |
| 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 |
| 1679031678 | Lima Memorial Professional Corporation | Nurse Practitioner | 375 N Eastown Rd Ste C, Lima, OH 45807-2209 | 2019-03-08 |
| Street Address |
520 W LINCOLN AVE STE A |
| City | ADA |
| State | OH |
| Zip Code | 45810-9466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891013 | Kasey Renee Harrod | Nurse Practitioner | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2020-02-03 |
| 1720513443 | Akeem A Adeniyi | Nurse Practitioner | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2017-05-01 |
| 1043761356 | Lima Memorial Professional Corporation | Internal Medicine | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2016-10-21 |
| 1841521887 | Jewel A Engle | Internal Medicine | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668183 | Ohio Northern University | Pharmacy | 511 W Lincoln Ave, Ada, OH 45810 | 2017-09-26 |
| 1104210723 | Brady Pickford | Registered Nurse | 0257 S.r. 235, Ada, OH 45810 | 2015-03-20 |
| 1356546808 | Ada-liberty Jt Ambulance Dis | Ambulance | 530 North Gilbert Street, Ada, OH 45810 | 2007-06-15 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1821159575 | Teresa E Rush | Nurse Practitioner | 604 W North Ave, Ada, OH 45810 | 2006-12-13 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1407921117 | Ada Family Dentistry | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-11-21 |
| 1538246038 | Mark Benner Shull | Dentist | 120 S Main Street, Ada, OH 45810 | 2006-11-01 |
| Find all providers in zip 45810 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447796925 | Ada Medical Group Pllc | Family Medicine | 1150 N. Hills Center, Ada, OK 74820 | 2017-01-09 |
| 1982612099 | Sandra Lee Martsching | Family Medicine | 201 9th Street West, Bridges Medical Center, Ada, MN 56510 | 2006-08-04 |
| 1255353611 | Patrick J O'neill | Family Medicine | 1150 North Hills Centre, Ada, OK 74820-1864 | 2006-07-24 |
| 1972561116 | James Francis Wight | Family Medicine | 2901 Arlington St, Ada, OK 74820-2928 | 2006-05-03 |
| 1992763411 | T Steven Ivan | Family Medicine | 530 N Monte Vista St Ste A, Ada, OK 74820-4675 | 2006-05-03 |
| 1942264304 | Guy J Garrett | Family Medicine | 6181 Witherbee Dr Se, Ada, MI 49301-7810 | 2006-04-13 |
| 1881661015 | Robyn D Freeland | Family Medicine | 520 N Monte Vista St, Suite A, Ada, OK 74820-4674 | 2006-03-07 |
| 1760456867 | Lawrence Joseph Kuk Jr. | Family Medicine | 520 W Lincoln Ave, Suite C, Ada, OH 45810-9466 | 2006-02-15 |
| 1174500946 | Joanne Chinnici | Family Medicine | 2513 Timber Ter, Ada, OK 74820-7256 | 2005-12-22 |
| 1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
| Find all providers in ADA | ||||
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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.