LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1023497807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023497807 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | MIDWEST SURGICAL SPECIALISTS - UROLOGY |
| Practice Address |
1005 Bellefontaine Ave Ste 225 Lima OH 45804-2896 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988276 |
| Practice Fax Number | 4199988277 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-11-05 |
| 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 | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| Midwest Surgical Specialists - Urology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 Bellefontaine Ave Ste 125, Lima, OH 458042893 | 4199988276 | 4199988277 |
| 1005 Bellefontaine Ave Ste 225, Lima, OH 458042896 | 4199988276 | 4199988277 |
| 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 |
1005 BELLEFONTAINE AVE STE 225 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306887252 | Monica W Loke | Neurological Surgery | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2006-06-10 |
| 1417492109 | Erica Siefker | Physician Assistant | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2017-01-04 |
| 1093174021 | Lima Memorial Professional Corporation | Neurological Surgery | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2016-02-18 |
| 1568754661 | Mwafa Turjman | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2011-05-06 |
| 1073748257 | Jaber Alanzi | Surgery | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2009-05-18 |
| 1568659118 | Tiffany Renee Mckirnan | Physician Assistant | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2007-09-27 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508891151 | Roque Equia Teruel | Urology | 825 West Market St, Ste 304, Lima, OH 45805-2789 | 2006-07-12 |
| 1821074162 | Russell J Taylor | Urology | 770 West High Street, Suite 350, Lima, OH 45801-5901 | 2005-12-19 |
| 1982234126 | Joseph Brautigam | Urology | 770 W High St Ste 350, Lima, OH 45801-5901 | 2020-01-15 |
| 1568754661 | Mwafa Turjman | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2011-05-06 |
| 1548565385 | Oussama Darwish | Urology | 770 W High St, Ste 350, Lima, OH 45801-3990 | 2011-01-25 |
| 1053562033 | Ks Urology Inc | Urology | 1220 E Elm St, Suite 101, Lima, OH 45804-2850 | 2008-10-08 |
| 1992916316 | Lima Urology Inc | Urology | 770 West High Street, Suit 350, Lima, OH 45801-5901 | 2007-05-25 |
| 1750489670 | Stephen D Lipson | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-09-21 |
| 1861504185 | Kamrooz Sanii | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-08-31 |
| 1518984137 | Kenneth E Stanley | Urology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2006-07-17 |
| 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.