DR. PHILIP SCOTT GAFFORD (NPI# 1275743502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275743502 |
| Entity Type | Individual |
| Full Name | DR. PHILIP SCOTT GAFFORD |
| Credential | MD |
| Practice Address |
1003 Bellefontaine Ave Ste 125 Lima OH 45804 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988207 |
| Practice Fax Number | 4199988216 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984514 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35.131215 | OH | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35.131215 | OH | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35.131215 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCBS | 000001082699 | 01 |
| OH | 0219492 | 05 |
| Street Address |
1003 BELLEFONTAINE AVE STE 125 |
| City | LIMA |
| State | OH |
| Zip Code | 45804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838180 | Robert Love Baker II | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2005-08-18 |
| 1386259893 | Krista E Burrows | Physician Assistant | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2020-09-11 |
| 1689238669 | Megan A Kaufman | Physician Assistant | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2019-04-25 |
| 1669733960 | Brandon E Colvin | Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2012-06-04 |
| 1225320526 | Shannon R Wesley | Colon & Rectal Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2011-05-05 |
| 1841500618 | Courtney L Hoover | Physician Assistant | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2010-10-14 |
| 1679729909 | Noorul Hasan Khan | Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2008-08-18 |
| 1417114703 | Lima Memorial Professional Corporation | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2008-05-22 |
| 1659576387 | Michael B Tempel | Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2007-06-21 |
| 1366465346 | Jeffrey Stuart Lobel | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2006-07-25 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671426 | Ramanath P Pai | Surgery | 865 Atalan Trl, Lima, OH 45805-4128 | 2011-04-14 |
| 1649598004 | Anne R Edgerton | Surgery | 830 W High St Ste 360, Lima, OH 45801-3985 | 2010-05-11 |
| 1891742029 | Lima Surgical Specialist, Inc | Surgery | 2981 Stoneybrook Dr, Lima, OH 45805-3896 | 2006-05-31 |
| 1053313171 | Marcus F Cox | Surgery | 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 | 2005-08-10 |
| 1669733960 | Brandon E Colvin | Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2012-06-04 |
| 1053628172 | Jeremy James Heffner | Surgery | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-2868 | 2010-09-10 |
| 1073748257 | Jaber Alanzi | Surgery | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2009-05-18 |
| 1679729909 | Noorul Hasan Khan | Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2008-08-18 |
| 1427214790 | Christopher Lee Clancy | Surgery | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2008-08-05 |
| 1497916654 | Raman K. Talwar, Md, Inc | Surgery | 920 W Market St, Suite 310, Lima, OH 45805-2773 | 2008-06-20 |
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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.