LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1093174021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093174021 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | PROHEALTH NEUROSURGERY AND NEUROLOGY |
| Practice Address |
1005 Bellefontaine Ave Ste 225 Lima OH 45804-2896 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988200 |
| Practice Fax Number | 4199988203 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-07-02 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| ProHealth Neurosurgery and Neurology | Doing Business As Name - 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 |
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 |
| 1023497807 | Lima Memorial Professional Corporation | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2015-05-26 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326357732 | Cheng-te Lin | Neurological Surgery | 1617 Leist Ave, Lima, OH 45805-3810 | 2010-10-02 |
| 1306887252 | Monica W Loke | Neurological Surgery | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2006-06-10 |
| 1306838180 | Robert Love Baker II | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2005-08-18 |
| 1255645743 | Asem Salma | Neurological Surgery | 770 W High St, Suite 220, Lima, OH 45801-3990 | 2010-07-27 |
| 1417114703 | Lima Memorial Professional Corporation | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2008-05-22 |
| 1518175215 | Cooley Neurosurgical Clinic Inc | Neurological Surgery | 830 W High St, Suite 204, Lima, OH 45801-3971 | 2007-05-18 |
| 1528134582 | David Alan Cooley | Neurological Surgery | 830 W High St, Suite 204, Lima, OH 45801-3971 | 2006-11-28 |
| 1366465346 | Jeffrey Stuart Lobel | Neurological Surgery | 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 | 2006-07-25 |
| 1861434276 | Earl Clarence Mills | Neurological Surgery | 770 W High St, Ste 220, Lima, OH 45801-5910 | 2006-06-11 |
| 1730137043 | Mario P. Ammirati | Neurological Surgery | 770 W High St, Suite 220, Lima, OH 45801-3990 | 2006-05-05 |
| 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.