DAVID J NEIDHARDT (NPI# 1396797510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797510 |
| Entity Type | Individual |
| Full Name | DAVID J NEIDHARDT |
| Credential | MD |
| Practice Address |
915 W Market St Lima OH 45805-2768 |
| Practice Telephone | 4192294747 |
| Practice Fax Number | 4192243348 |
| Mailing Telephone | 4192294747 |
| Mailing Fax Number | 4192243348 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35055419 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM/BCBS | 000000317842 | 01 |
| OH | MEDICARE RAILROAD | P00072000 | 01 |
| OH | 0681785 | 05 | |
| OH | MEDICARE RR | 010024599 | 01 |
| Street Address |
915 W MARKET ST |
| City | LIMA |
| State | OH |
| Zip Code | 45805-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053363580 | Madeline Agosto | Family Medicine | 915 W Market St, Lima, OH 45805-2768 | 2006-05-16 |
| 1891913687 | Young W. Rhee, M.d. | Psychiatry & Neurology | 915 W Market St, Suite D, Lima, OH 45805 | 2007-04-24 |
| 1225159791 | West Market Street Family Phys | Family Medicine | 915 W Market St, Suite E, Lima, OH 45805-2768 | 2007-04-03 |
| 1144388869 | Young Wung Rhee | Psychiatry & Neurology | 915 W Market St, Suite D, Lima, OH 45805 | 2006-12-05 |
| 1376595728 | Edward L Tremoulis | Family Medicine | 915 W Market St, Lima, OH 45805-2768 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
| 1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
| 1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
| 1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
| 1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
| Find all providers in zip 45805 | ||||
| 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 |
|---|---|---|---|---|
| 1487953634 | Medetc LLC | Family Medicine | 2718 Carolyn Dr, Lima, OH 45807-2310 | 2011-03-26 |
| 1295046480 | Lima Memorial Professional Corporation | Family Medicine | 1005 Bellefontaine Ave Ste 100, Lima, OH 45804-2871 | 2010-06-23 |
| 1477740157 | Manu B Aggarwal | Family Medicine | 531 S Eastown Rd, Lima, OH 45805-2800 | 2007-09-26 |
| 1982802971 | St. Rita's Medical Center | Family Medicine | 825 S Cable Rd Unit A, Lima, OH 45805-3467 | 2007-07-11 |
| 1508900739 | Ashwin V Amin | Family Medicine | 2455 Balyeat Dr, Lima, OH 45805-4094 | 2007-02-19 |
| 1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
| 1851499875 | Julia Mary Morgan | Family Medicine | 7325 Community Dr., Lima, NY 14485 | 2006-09-21 |
| 1407958713 | Molly Parietti Scharf | Family Medicine | 7325 Community Dr, Lima, NY 14485 | 2006-09-05 |
| 1073555819 | Salim W Hanna | Family Medicine | 1005 Bellefontaine Ave Ste 340, Lima, OH 45804-2876 | 2006-06-12 |
| 1578519997 | Melvin Monroe | Family Medicine | 937 Bellefontaine Ave Suite 201, Lima, OH 45804 | 2006-05-26 |
| 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.