MEDETC LLC (NPI# 1487953634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487953634 |
| Entity Type | Organization |
| Organization Name | MEDETC LLC |
| Practice Address |
2718 Carolyn Dr Lima OH 45807-2310 |
| Practice Telephone | 4193023337 |
| Mailing Telephone | 4193023337 |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |
| Authorized Official Name | LAURA JEAN WALDRON (PRESIDENT) |
| Authorized Official Telephone | 4193033466 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35052128 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2718 CAROLYN DR |
| City | LIMA |
| State | OH |
| Zip Code | 45807-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
| 1093935140 | Lucy Marie Garland | Registered Nurse | 7070 Billymack Rd, Elida, OH 45807 | 2007-04-30 |
| 1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
| 1548557762 | Lima Cancer and Blood Disease Center Inc | Internal Medicine | 375 N Eastown Rd, Suite C, Lima, OH 45807 | 2011-07-08 |
| 1023031903 | Physicians Inc | Internal Medicine | 750 W High St, Suite 250, Lima, OH 45807 | 2006-07-25 |
| 1245501303 | Vickie Leeann Levan | Registered Nurse | 200 Baxter St, Elida, OH 45807-1005 | 2012-01-21 |
| 1255804969 | Julia M Smith | Student in an Organized Health Care Education/Training Program | 324 Baxter St, Elida, OH 45807-1007 | 2019-01-04 |
| 1871669317 | Steven Merritt Jones | Dentist | 409 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-11-27 |
| 1356445084 | Todd R Bullinger | Chiropractor | 415 E Kiracofe Ave, Elida, OH 45807-1031 | 2006-09-12 |
| 1336590165 | Mary E Wiechart | Dentist | 409 E Kiracofe Ave, Lima, OH 45807-1031 | 2016-06-22 |
| Find all providers in zip 45807 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295046480 | Lima Memorial Professional Corporation | Family Medicine | 1005 Bellefontaine Ave Ste 100, Lima, OH 45804-2871 | 2010-06-23 |
| 1477740157 | Manu B Aggarwal | Family Medicine | 531 S Eastown Rd, Lima, OH 45805-2800 | 2007-09-26 |
| 1982802971 | St. Rita's Medical Center | Family Medicine | 825 S Cable Rd Unit A, Lima, OH 45805-3467 | 2007-07-11 |
| 1508900739 | Ashwin V Amin | Family Medicine | 2455 Balyeat Dr, Lima, OH 45805-4094 | 2007-02-19 |
| 1629164728 | Kent Brandeberry | Family Medicine | 3224 Jarvis Dr, Lima, OH 45807 | 2006-10-05 |
| 1851499875 | Julia Mary Morgan | Family Medicine | 7325 Community Dr., Lima, NY 14485 | 2006-09-21 |
| 1407958713 | Molly Parietti Scharf | Family Medicine | 7325 Community Dr, Lima, NY 14485 | 2006-09-05 |
| 1073555819 | Salim W Hanna | Family Medicine | 1005 Bellefontaine Ave Ste 340, Lima, OH 45804-2876 | 2006-06-12 |
| 1578519997 | Melvin Monroe | Family Medicine | 937 Bellefontaine Ave Suite 201, Lima, OH 45804 | 2006-05-26 |
| 1063464923 | Mark T Mueller | Family Medicine | 582 N Cable Road, Lima, OH 45805 | 2006-05-17 |
| 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.