LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1912408444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912408444 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | LIMA MEMORIAL PULMONARY CENTER |
| Practice Address |
1003 Bellefontaine Ave Ste 150 Lima OH 45804-1871 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988295 |
| Practice Fax Number | 4192268323 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2018-02-21 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| Lima Memorial Pulmonary | Doing Business As Name - Organization |
| Lima Memorial Pulmonary Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 528 W Market St, Lima, OH 458014762 | 4192277378 | 4192271370 |
| 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 |
1003 BELLEFONTAINE AVE STE 150 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455720 | Jason A Stienecker | Internal Medicine | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2011-06-26 |
| 1982221057 | Michelle Leann Prowant | Nurse Practitioner | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2020-07-06 |
| 1811521248 | Amanda D Lott | Nurse Practitioner | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2020-02-25 |
| 1306487830 | Kristin R Hoehn | Registered Nurse | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2019-10-07 |
| 1013453190 | Alicia Thornton | Physician Assistant | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2017-01-12 |
| 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 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497049910 | Pulmonary Center of Lima, LLC | Internal Medicine | 528 W Market St, Suite 200, Lima, OH 45801-4762 | 2011-06-01 |
| 1992897680 | Sreenivasa Rao Chanamolu | Internal Medicine | 770 W High St, Suite 240, Lima, OH 45801-3990 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672171 | National Lung and Sleep Medicine LLC | Internal Medicine | 1695 Big Bear Dr, Centerville, OH 45458-3692 | 2020-03-02 |
| 1588225932 | Summa Physicians Inc | Internal Medicine | 1700 Boettler Rd Ste 250, Uniontown, OH 44685-6211 | 2019-06-26 |
| 1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
| 1407378409 | Francisco A. Mateo, M.d. Inc. | Internal Medicine | 2094 E State St Ste G, Salem, OH 44460-4409 | 2017-07-11 |
| 1134520992 | Eduardo Caspe Casalmir | Internal Medicine | 1551 Shore Woods Dr, Dayton, OH 45459-1474 | 2014-09-11 |
| 1215359807 | William Schlechter | Internal Medicine | 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 | 2014-01-15 |
| 1174814271 | Morisetty Medical Associates, Inc. | Internal Medicine | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2011-04-22 |
| 1053636944 | Tejinder Singh Bal | Internal Medicine | 3642 Tippecanoe Pl, Canfield, OH 44406-9531 | 2010-04-02 |
| 1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
| 1518195478 | Integrated Health Services Management | Internal Medicine | 6820 Ridge Rd Ste 204, Parma, OH 44129-5647 | 2009-06-30 |
| Find all providers with the same taxonomy | ||||
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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.