DR. CHAD A BROERING (NPI# 1396188009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396188009 |
| Entity Type | Individual |
| Full Name | DR. CHAD A BROERING |
| Credential | M.D. |
| Practice Address |
801 Medical Dr Ste A Lima OH 45804 |
| Mailing Address |
801 Medical Dr Ste A Lima OH 45804-4030 |
| Practice Telephone | 4192226622 |
| Practice Fax Number | 4192240015 |
| Mailing Telephone | 4192226622 |
| Mailing Fax Number | 4192240015 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35.128827 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 E Market St, Akron, OH 443041619 | 3303753107 |
| Street Address |
801 MEDICAL DR STE A |
| City | LIMA |
| State | OH |
| Zip Code | 45804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899594 | Andrew E Layne | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2005-08-30 |
| 1447858972 | Melissa M Kloeppel | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-10-16 |
| 1003446170 | Logan Michael Rieman | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-01-17 |
| 1689216939 | James Westley Carlier | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-10-08 |
| 1578029641 | Breanna L Hanna | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-02-14 |
| 1679040943 | Jered Hill | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-10-25 |
| 1679054464 | Staci Leigh Clutter | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-08-28 |
| 1063905560 | Brooke M Scollin | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-06-08 |
| 1467943993 | Tabatha Ann Perreault | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804 | 2018-05-21 |
| 1013424597 | Kyle T Shroll | Physical Therapist | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-01-05 |
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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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811911266 | West Central Ohio Orthopedics & Sports Medicine, Inc. | Orthopaedic Surgery | 830 W High Street, Suite 250, Lima, OH 45801 | 2006-07-27 |
| 1144270497 | David Da-wei Lin | Orthopaedic Surgery | 15 Estate Dr, Lima, OH 45805 | 2006-05-10 |
| 1518942275 | Lawrence David Bell | Orthopaedic Surgery | 4165 W Elm St, Lima, OH 45807-2240 | 2005-12-14 |
| 1902899594 | Andrew E Layne | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2005-08-30 |
| 1487059622 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1003 Bellefontaine Ave, Suite 100, Lima, OH 45804-2868 | 2014-10-30 |
| 1174967368 | Jeffrey Edward Otte | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2013-04-18 |
| 1598108268 | Ryan Steven Smith | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2013-04-12 |
| 1538409131 | Michael Thomas Edgerton | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2013-02-20 |
| 1316114242 | Sumon Nandi | Orthopaedic Surgery | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2008-05-09 |
| 1558533083 | Selvon F St. Clair | Orthopaedic Surgery | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2008-03-25 |
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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.