DR. JENNIFER FERN NIESEN (NPI# 1497806897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497806897 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER FERN NIESEN |
| Other Name | JENNIFER FERN SIMMONS |
| Credential | D.O. |
| Practice Address |
1005 Bellefontaine Ave Suite 175 Lima OH 45804-2851 |
| Practice Telephone | 4192272727 |
| Practice Fax Number | 4192272737 |
| Mailing Telephone | 4192272727 |
| Mailing Fax Number | 4192272737 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9005 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2774387 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 770 W High St Ste 400, Lima, OH 458015917 | 4192272727 | 4192241589 |
| Street Address |
1005 BELLEFONTAINE AVE SUITE 175 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313171 | Marcus F Cox | Surgery | 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 | 2005-08-10 |
| 1003196114 | Stacy Jo Klass | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804-2851 | 2011-08-19 |
| 1710121132 | Nasim Mastouri | Internal Medicine | 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 | 2009-04-29 |
| 1871746735 | Cynthia Grace Trent | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2008-10-23 |
| 1215109145 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 | 2008-04-01 |
| 1558542522 | Kerry Ann Stedke | Physician Assistant | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-11-19 |
| 1457565061 | Margarite Marie Angelopoulos | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-05-10 |
| 1285789362 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-25 |
| 1669521423 | Judith E Rigoni | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-01-10 |
| 1730247636 | Daniel Michael Callisto | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2006-12-04 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568989762 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1220 E Elm St Ste 204, Lima, OH 45804-2898 | 2017-08-28 |
| 1396033817 | Michelle Coates | Obstetrics & Gynecology | 1005 Bellefontaine Ave Ste 175, Lima, OH 45804-2894 | 2011-07-18 |
| 1366621419 | Advanced Ob Gyn Specialists Inc | Obstetrics & Gynecology | 830 West High, Suite 304, Lima, OH 45801-3969 | 2007-10-25 |
| 1780753210 | Ob Gyn Specialists of Lima, Inc | Obstetrics & Gynecology | 830 W High St Ste 101, Lima, OH 45801-3968 | 2006-11-07 |
| 1306838867 | Rhonda J Medina | Obstetrics & Gynecology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2005-08-19 |
| 1356974000 | Courtney Fike | Obstetrics & Gynecology | 830 W High St Ste 101, Lima, OH 45801-3968 | 2020-02-20 |
| 1811427586 | Lima Memorial Professional Corporation | Obstetrics & Gynecology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2017-06-15 |
| 1942431911 | Sarah E. Kreider | Obstetrics & Gynecology | 830 W High St Ste 101, Lima, OH 45801-3968 | 2009-08-07 |
| 1356571871 | Elizabeth Read Rumschlag | Obstetrics & Gynecology | 830 W High St Ste 101, Lima, OH 45801-3968 | 2009-07-17 |
| 1962650648 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 770 W High St, Suite 400, Lima, OH 45801-3990 | 2008-09-05 |
| 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.