Organization · Type 2 NPI

Lima Memorial Professional Corporation

Cardiovascular Disease Physician · Ada, OH

NPI number 1043761356 Active

Practice location

520 W Lincoln Ave Ste A
Ada, OH 45810-9466

Call (419) 224-5915 Map

Fax (419) 224-5918

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3 other providers at this address

NPI record

NPI: 1043761356
Entity type: Organization (Type 2)
Issued: Oct 21, 2016
Last updated: Apr 9, 2022
Status: Active

Other names

<unavail>
Lima Memorial Health System Heart & Vascular Institute · doing business as
Lima Memorial Health System at Ada Medical Center · doing business as
Lima Memorial Specialists at Ada · doing business as

Authorized official

Jeffrey Utz
Director of LMP
(419) 998-4668

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043761356

Lima Memorial Professional Corporation's National Provider Identifier is 1043761356, issued on Oct 21, 2016. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Ada, OH. The record was last updated on Apr 9, 2022.