Independent Physical Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INDEPENDENT PHYSICAL MEDICINE LLC

Practice address

3469 W Elm St
Lima, OH 45807-2226

Phone

(567) 940-9334

Fax

(877) 813-6315

NPI assigned

Sep 18, 2019

Last updated

Sep 18, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sommer Gorman

Title

Secretary

Phone

(567) 356-7407

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Harold Gorman, D.C.

  • Chiropractor
  • Lima, OH
  • NPI 1780926519
  NPD
• Zachary Goecke, D.C.

  • Chiropractor
  • Lima, OH
  • NPI 1336091859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1063062354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072226",
            "telephone_number": "567-940-9334",
            "fax_number": "877-813-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072226",
            "telephone_number": "567-940-9334",
            "fax_number": "877-813-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "SOMMER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "567-356-7407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Craig Anthony Imm, M.D.
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• Infectious Diseases Inc
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• Connie S Ingalls, M.D.
• Alexis Inman

• General Practice Physician in Lima, OH
• Providers in Lima, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.