LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1871867663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871867663 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | LMP INTERNAL MEDICINE & FAMILY HEALTHCARE |
| Practice Address |
525 N Eastown Rd Ste A Lima OH 45807-2268 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4192244646 |
| Practice Fax Number | 4192242410 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JEFF UTZ (DIRECTOR OF LMP) |
| Authorized Official Telephone | 4199984668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| LMP Internal Medicine & Family Healthcare | Doing Business As Name - Organization |
| LMP Internal Medicine and Family Healthcare | Other Name - Individual/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 |
| 1225295835 | Lima Memorial Professional Corporation | Nurse Practitioner | 520 W Lincoln Ave Ste A, Ada, OH 45810-9466 | 2008-05-21 |
| 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 |
| Street Address |
525 N EASTOWN RD STE A |
| City | LIMA |
| State | OH |
| Zip Code | 45807-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508023896 | Lima Memorial Professional Corporation | Specialist | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2008-05-22 |
| 1104392679 | Gray Derm Pllc | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2018-10-22 |
| 1013382068 | Lima Memorial Professional Corporation | Pediatrics | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2015-12-02 |
| 1831514025 | Bryan Gray | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
| 1093935140 | Lucy Marie Garland | Registered Nurse | 7070 Billymack Rd, Elida, OH 45807 | 2007-04-30 |
| 1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
| 1548557762 | Lima Cancer and Blood Disease Center Inc | Internal Medicine | 375 N Eastown Rd, Suite C, Lima, OH 45807 | 2011-07-08 |
| 1023031903 | Physicians Inc | Internal Medicine | 750 W High St, Suite 250, Lima, OH 45807 | 2006-07-25 |
| 1245501303 | Vickie Leeann Levan | Registered Nurse | 200 Baxter St, Elida, OH 45807-1005 | 2012-01-21 |
| 1255804969 | Julia M Smith | Student in an Organized Health Care Education/Training Program | 324 Baxter St, Elida, OH 45807-1007 | 2019-01-04 |
| 1871669317 | Steven Merritt Jones | Dentist | 409 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-11-27 |
| 1356445084 | Todd R Bullinger | Chiropractor | 415 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-09-12 |
| 1336590165 | Mary E Wiechart | Dentist | 409 E Kiracofe Ave, Lima, OH 45807-1031 | 2016-06-22 |
| Find all providers in zip 45807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713967 | Internal Medicine Primary Care Incorporated | Nurse Practitioner | 920 W Market St Ste 210a, Lima, OH 45805-2777 | 2020-02-26 |
| 1770129835 | Kimberly Anne Stump | Nurse Practitioner | 690 Gardenview Cir, Lima, OH 45801-3873 | 2019-11-25 |
| 1104478098 | Anne Marie Sielschott | Nurse Practitioner | 830 W High St Ste 250, Lima, OH 45801-3981 | 2019-07-11 |
| 1982128328 | Wendy Shutler | Nurse Practitioner | 770 W High St Ste 220, Lima, OH 45801-5910 | 2017-07-27 |
| 1881116416 | Jaclyn Goins | Nurse Practitioner | 825 S Cable Rd Ste A, Lima, OH 45805-3467 | 2017-07-14 |
| 1760931034 | Denise Harris | Nurse Practitioner | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 | 2016-09-28 |
| 1861856015 | Shelley Fogt | Nurse Practitioner | 1220 E Elm St Ste 106, Lima, OH 45804-2803 | 2016-04-13 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
| 1740587823 | Katherine Hoying | Nurse Practitioner | 240 W Northern Ave Ste 3, Lima, OH 45801-2839 | 2011-02-25 |
| 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.