ALAN B BRADLEY MD LLC (NPI# 1659543676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659543676 |
| Entity Type | Organization |
| Organization Name | ALAN B BRADLEY MD LLC |
| Practice Address |
1220 E Elm St Suite 204 Lima OH 45804-2850 |
| Practice Telephone | 4192242632 |
| Practice Fax Number | 4192222731 |
| Mailing Telephone | 4192242632 |
| Mailing Fax Number | 4192222731 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. ALAN B BRADLEY (OWNER) |
| Authorized Official Telephone | 4192242632 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35042423B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0492864 | 05 |
| Street Address |
1220 E ELM ST SUITE 204 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165329 | Dennis J Pierson | Family Medicine | 1220 E Elm St, Ste 240, Lima, OH 45804-2898 | 2005-06-27 |
| 1992194443 | Lima Memorial Professional Corporation | Podiatrist | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2015-01-21 |
| 1225329360 | Jacqueline Marie Boucher | Physician Assistant | 1220 E Elm St, Suite 205, Lima, OH 45804-2850 | 2011-04-24 |
| 1619113511 | Karla Elizabeth Schwartz | Social Worker | 1220 E Elm St, Suite 140a, Lima, OH 45804-2850 | 2008-12-23 |
| 1053562033 | Ks Urology Inc | Urology | 1220 E Elm St, Suite 101, Lima, OH 45804-2850 | 2008-10-08 |
| 1184805517 | Jamie Rose Cook | Physician Assistant | 1220 E Elm St, Suite 106, Lima, OH 45804-2850 | 2007-11-14 |
| 1447443569 | Family Medical Center of Lima, Inc. | Family Medicine | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2007-08-22 |
| 1851583744 | Theresa H Liete Cnm Inc | Advanced Practice Midwife | 1220 E Elm St, Suite 204, Lima, OH 45804-2898 | 2007-08-14 |
| 1073623096 | Rosemary P Pinto-chung | Physician Assistant | 1220 E Elm St, Suite 204, Lima, OH 45804-2850 | 2006-08-30 |
| 1891702296 | Eric C Miller | Podiatrist | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2006-08-01 |
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| 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 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 |
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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.