DR. JOSE DENNIS LIM (NPI# 1821082090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082090 |
| Entity Type | Individual |
| Full Name | DR. JOSE DENNIS LIM |
| Credential | M.D. |
| Practice Address |
1901 W Western Ave #b South Bend IN 46619-3521 |
| Mailing Address |
69925 Cassopolis Rd Edwardsburg MI 49112-9210 |
| Practice Telephone | 5742349033 |
| Practice Fax Number | 5742349059 |
| Mailing Telephone | 5743397455 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01044250A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200074220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326368150 | Jose Francisco Lim | Emergency Medicine | 1504 Taub Loop, Houston, TX 77030-1608 | 2010-06-03 |
| 1548379696 | Jose Audie Lim | Internal Medicine | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2006-08-30 |
| Street Address |
1901 W WESTERN AVE #B |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619418332 | Susana Lagunas | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2017-03-14 |
| 1457755787 | Ekomobong E Essien | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2014-10-15 |
| 1093146631 | Gertrude Mumba-kaunda | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2013-12-09 |
| 1710208012 | Liliana Patricia Ruiz | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2010-06-21 |
| 1538367321 | Su Choo Chang | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2007-07-03 |
| 1528109410 | Carol Louise Sikorski | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3521 | 2007-02-12 |
| 1619914140 | Yahya El-shinnawy | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2006-06-01 |
| 1679567739 | Thomas J Allen | Dentist | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673679 | Sambasivarao Venkata Karanam | General Practice | 827 E. Water St., # B, South Bend, WA 98586-1166 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
Please comment or provide details below to improve the information on DR. JOSE DENNIS 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.