Glenn A Bryant Iii (NPI# 1588686794, PAC ID# 8628097219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1588686794 |
| PAC ID by PECOS | 8628097219 |
| Professional Enrollment ID | I20051114000086 |
| Full Name | Glenn A Bryant Iii |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Address |
525 N Eastown Rd Lima OH 45807-2268 |
| Phone Number | 4199984477 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 1254232184 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360066 | ST RITA'S MEDICAL CENTER |
| 360058 | MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL |
| 360071 | VAN WERT COUNTY HOSPITAL |
| 360013 | WILSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 525 N Eastown Rd, Lima, OH 45807-2268 | 4199984477 | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Charles Niese | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Trisha M Kleman | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Alicia Thornton | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Marilyn E Roberts | Nurse Practitioner | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Shannon R Wesley | Colorectal Surgery (proctology) | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Monica W Loke | Neurosurgery | Lima Memorial Professional Corporation | 1005 Bellefontaine Ave, Suite 350, Lima, OH 45804-2885 |
| Jennifer Maag | Family Medicine | Lima Memorial Professional Corporation | 102 Putnam Pkwy, Ottawa, OH 45875-8657 |
| Susan M Kaufman | Family Medicine | Lima Memorial Professional Corporation | 1211 E Columbus St, Kenton, OH 43326-1760 |
| Sarat B Kuchipudi | Pulmonary Disease | Lima Memorial Professional Corporation | 528 W Market St, Suite 200a, Lima, OH 45801-4762 |
| Marjorie A Demund | Obstetrics/gynecology | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Street Address |
525 N EASTOWN RD |
| City | LIMA |
| State | OH |
| Zip | 45807-2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn E Roberts | Nurse Practitioner | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Farnaz Mohammadi | Nephrology | Lima Memorial Professional Corporation | 525 N Eastown Rd, Lima, OH 45807-2268 |
| Xiusheng Qin | Internal Medicine | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Emmanuel J Tabora | Family Practice | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda K Fish | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Kent Brandeberry | Family Medicine | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Jan M Schroeder | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Mark D. Kahle | Family Medicine | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Todd R Bullinger | Chiropractic | 415 E Kiracofe Ave, Elida, OH 45807-1031 | |
| James Theodore Bowlus | Family Medicine | 610 E Kiracofe Ave, Elida, OH 45807-1034 | |
| Jonathan Laux | Chiropractic | 4030 Allentown Rd, Lima, OH 45807-2146 | |
| Sheri Lynn Miller | Nurse Practitioner | Gastroenterology of West Central Ohio, Inc. | 375 N Eastown Rd, Suite A, Lima, OH 45807-2209 |
| City | LIMA |
| Zip Code | 45807 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LIMA + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.