DR. MANUEL T. LIM (NPI# 1679513576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679513576 |
| Entity Type | Individual |
| Full Name | DR. MANUEL T. LIM |
| Credential | MD |
| Practice Address |
1440 Conchester Hwy Suite 5a Boothwyn PA 19061-2124 |
| Practice Telephone | 6104593722 |
| Practice Fax Number | 6104594730 |
| Mailing Telephone | 6104593722 |
| Mailing Fax Number | 6104594730 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD038926L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 07806046 | 05 |
| Street Address |
1440 CONCHESTER HWY SUITE 5A |
| City | BOOTHWYN |
| State | PA |
| Zip Code | 19061-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376580506 | Rodney M. Elkin | Internal Medicine | 1440 Conchester Hwy, Suite 5a, Boothwyn, PA 19061-2124 | 2006-05-31 |
| 1356752497 | Foot and Ankle Associates LLP | Durable Medical Equipment & Medical Supplies | 1440 Conchester Hwy, Ste 10-c, Boothwyn, PA 19060-2124 | 2014-05-12 |
| 1194029470 | Shaun T Mullan | Massage Therapist | 1440 Conchester Hwy, Sutie 14, Boothwyn, PA 19060-2124 | 2010-12-31 |
| 1871651992 | Modern Dental Professionals Philadelpha PC | Dentist | 1440 Conchester Hwy, Boothwyn, PA 19061-2124 | 2006-12-04 |
| 1528088754 | Daniel Alan Smolen | Family Medicine | 1440 Conchester Hwy, Suite 4, Boothwyn, PA 19061-2124 | 2006-07-20 |
| 1699715086 | Boothwyn Medical Associates P.C. | Family Medicine | 1440 Conchester Hwy, Suite 5a, Boothwyn, PA 19061-2124 | 2006-06-07 |
| 1487692224 | Timothy A Martin | Chiropractor | 1440 Conchester Hwy, Suite 15c, Boothwyn, PA 19061-2124 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932010 | Ems Factory Inc | Ambulance | 1628 Huddell Avenue, Boothwyn, PA 19061 | 2011-07-15 |
| 1194928655 | Patricia Anne Wardius | Dentist | 3129 Naamans Creek Road, Boothwyn, PA 19061 | 2007-06-11 |
| 1912110438 | Critical Care Systems | Preferred Provider Organization | 3901 Columbia Avenue, Suite100, Linwood, PA 19061 | 2007-05-08 |
| 1205048790 | Diane Faith Senn | Pharmacist | 643 Conchester Highway, Boothwyn, PA 19061 | 2007-05-04 |
| 1205048709 | Nicole Marie Nelson | Speech-Language Pathologist | Naamans Creek Country Manor, 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-05-04 |
| 1932221322 | Marcus Hook-trainer Fire Dept Station 68 Inc | Ambulance | 617 East 10 St, Marcus Hook, PA 19061 | 2007-04-04 |
| 1215059175 | Sarah Margaret Clark | Physical Therapist | 1194 Naanans Creek Rd, Boothwyn, PA 19061 | 2007-04-04 |
| 1235257783 | Julie Ramsey | Occupational Therapist | 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-03-26 |
| 1316071293 | Nancy Elizabeth Jordan | Physical Therapist | 1531 Springmeadow Ln., Boothwyn, PA 19061 | 2007-03-15 |
| 1306979133 | Elwyn | Intermediate Care Facility, Mentally Retarded | 5240 Chichester Ave., Boothwyn, PA 19061 | 2007-03-13 |
| Find all providers in zip 19061 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699715086 | Boothwyn Medical Associates P.C. | Family Medicine | 1440 Conchester Hwy, Suite 5a, Boothwyn, PA 19061-2124 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1578835799 | Gordon Thomas Fletcher | Family Medicine | 128 Guillard Rd, Prospect, PA 16052-2702 | 2012-02-03 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MANUEL T. LIM.
| 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.