LIMA MEMORIAL PROFESSIONAL CORPORATION


Address: 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-2868
Phone: 4192277702

LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1457819450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457819450
Entity Type Organization
Organization Name LIMA MEMORIAL PROFESSIONAL CORPORATION
Other Organization Name OHIO CARDIOTHORACIC AND VASCULAR SURGEONS
Practice Address 1003 Bellefontaine Ave Ste 200
Lima
OH 45804-2868
Mailing Address 1001 Bellefontaine Ave
Lima
OH 45804-2800
Practice Telephone 4192277702
Practice Fax Number 4192277991
Mailing Telephone 4199984575
Mailing Fax Number 4199984586
Enumeration Date 2019-03-08
Last Update Date 2020-09-24
Authorized Official Name JEFFREY UTZ (DIRECTOR OF LMP)
Authorized Official Telephone 4199984668
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH GROUP NPI 1457474900 01
OH 2223703 05

Other Provider/Organization Names

Other Name Type Code
Cardiothoracic & Vascular Surgeons Doing Business As Name - Organization
Ohio Cardiothoracic and Vascular Surgeons Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1003 BELLEFONTAINE AVE STE 200
City LIMA
State OH
Zip Code 45804-2868

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700875051 Ronald L Pohl Thoracic Surgery (Cardiothoracic Vascular Surgery) 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2005-10-19
1578195376 Jamie L Verhoff Nurse Practitioner 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2020-02-10
1922649912 Cory Robert Heuerman Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2019-10-01
1295376366 Melissa M Scott Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2019-09-30
1083266902 Emily K Recker Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-2868 2019-07-11
1225517196 Daniela Tangeman Nurse Practitioner 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2018-08-10
1528568797 Ashley M Poeppelman Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2018-02-14
1316498629 Lima Memorial Professional Corporation Internal Medicine 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-2868 2016-10-21
1124492871 Kristy L Meyer Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2015-11-18
1386063816 Vahid Tavakoli Internal Medicine 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2014-04-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568418622 John H. Sirak Thoracic Surgery (Cardiothoracic Vascular Surgery) 830 W High St Ste 207, Lima, OH 45801-3975 2006-05-26
1679562920 Farzin Fotouhi Thoracic Surgery (Cardiothoracic Vascular Surgery) 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 2005-10-19
1700875051 Ronald L Pohl Thoracic Surgery (Cardiothoracic Vascular Surgery) 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2005-10-19
1548570567 Kwabena Mawulawde Thoracic Surgery (Cardiothoracic Vascular Surgery) 951 Commerce Pkwy, Ste 201, Lima, OH 45804-4040 2010-10-08
1588868616 Mario Matos-cruz Thoracic Surgery (Cardiothoracic Vascular Surgery) 830 W High St Ste 207, Lima, OH 45801-3975 2007-06-13
1093745028 Anthony Ian Nunez Thoracic Surgery (Cardiothoracic Vascular Surgery) 730 W Market St Ste 2k, Lima, OH 45801-4602 2006-07-04
1417907155 Ohio Cardiothoracic & Vasuclar Surgeons Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 2006-05-11
1851366892 Nnamdi Azie Thoracic Surgery (Cardiothoracic Vascular Surgery) 951 Commerce Pkwy, Suite 201, Lima, OH 45804-4040 2006-02-22
1821077553 Jay J Kim Thoracic Surgery (Cardiothoracic Vascular Surgery) 730 W Market St Ste 2k, Lima, OH 45801-4602 2006-01-11
1508841172 Gary Louis Parenteau Thoracic Surgery (Cardiothoracic Vascular Surgery) 730 W Market St Ste 2k, Lima, OH 45801-4602 2005-12-07
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City LIMA
Zip Code 45804

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Dataset Information

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.

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