LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI# 1508384306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508384306 |
| Entity Type | Organization |
| Organization Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Other Organization Name | LMPC SPECIALISTS AT OTTAWA |
| Practice Address |
102 Putnam Pkwy Ottawa OH 45875-8657 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4195239632 |
| Practice Fax Number | 4195239636 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2017-09-01 |
| 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI | 1457474900 | 01 |
| OH | 2223703 | 05 |
| Other Name | Type Code |
|---|---|
| LMPC Specialists at Ottawa | 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 |
102 PUTNAM PKWY |
| City | OTTAWA |
| State | OH |
| Zip Code | 45875-8657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689841900 | Jennifer R Maag | Family Medicine | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2008-05-15 |
| 1720434046 | Andrea Smith | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8678 | 2016-05-05 |
| 1912314311 | Kayla Croy | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2014-07-17 |
| 1851639033 | Lmh Heart Institute of Northwest Ohio, LLC | Internal Medicine | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2013-01-23 |
| 1972868271 | Darcie Lynn Jerwers | Optometrist | 102 Putnam Pkwy, Suite B, Ottawa, OH 45875 | 2012-07-12 |
| 1508146416 | Lima Memorial Professional Corporation | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970077 | Challenged Champions Equestrian Center, Inc. | Clinic/Center | 11913 Road 6, Ottawa, OH 45875 | 2018-01-18 |
| 1831602119 | County of Putnam Office of Auditor | Physical Medicine & Rehabilitation | 575 Ottawa Glandorf Rd Ste 3, Ottawa, OH 45875 | 2017-11-09 |
| 1972908069 | Trilogy Healthcare of Putnam II, LLC | Skilled Nursing Facility | 147 Putnam Parkway, Ottawa, OH 45875 | 2014-10-31 |
| 1669771291 | Beth Ann Jensen | Occupational Therapist | 1880 N. Perry Street, Ste 100, Ottawa, OH 45875 | 2011-03-22 |
| 1124329172 | Donald J. Schmidt, D.c. Inc. | Chiropractor | 139 S. Walnut St., Ottawa, OH 45875 | 2010-11-08 |
| 1700196433 | Andrew Michael Miller | Physical Therapist | 27511 Holiday Ln # 105, Perrysburg, OH 45875 | 2010-10-15 |
| 1639342603 | Atheena Dawn Walters Niese | Massage Therapist | 207 Blanchard Avenue, Ottawa, OH 45875 | 2008-04-10 |
| 1346442035 | Carla Mae Utendorf | Licensed Practical Nurse | 10129 Twp Rd 8, Ottawa, OH 45875 | 2007-06-04 |
| 1669687703 | Kathleen E Stinson | Home Health Aide | 8150 Road 15, Ottawa, OH 45875 | 2007-05-11 |
| 1124114939 | John B Hicks | Specialist/Technologist | 1880 N Perry Street Suite 100, Ottawa, OH 45875 | 2006-10-05 |
| Find all providers in zip 45875 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437227543 | Usman Ahmed Khan | Internal Medicine | 1050 E Norris Dr Ste 2c, Ottawa, IL 61350-1611 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
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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.