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Lima Memorial Professional Corporation

Organization Active NPI Pediatrics Physician · Lima, OH

NPI 1124680509 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1124680509
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
LIMA MEMORIAL PROFESSIONAL CORPORATION
Practice address
525 N Eastown Rd
Lima, OH 45807-2268
Phone
(419) 998-8214
Fax
(419) 998-9298
NPI assigned
Jul 5, 2019
Organization subpart
No

Authorized official

Name
Jeffrey Utz
Title
Director of LMP
Phone
(419) 998-4668

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

National Provider Directory

Tax ID family
Lima Memorial Prof Co (40 organizations share this tax ID)

Locations

525 N Eastown Rd
Lima, OH 45807
Phone (419) 228-7275

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

525 N Eastown Rd
Lima, OH 45807-2268

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other practice location 1

375 N Eastown Rd Ste C
Lima, OH 45807-2209
Phone (419) 224-4646

Other identifiers

IdentifierTypeStateIssuer
1457474900OtherOHGROUP NPI
2223703MedicaidOH

Other names

  • LMHS Medical Park Primary & Specialty Care Doing business as
  • Lima Memorial Health System Family Medicine- West Doing business as
  • Lima Memorial Health System Pediatrics Doing business as
  • Lima Memorial Specialists at Lima Memorial Family Healthcare Doing business as
  • Lima Pediatrics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1124680509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N EASTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072268",
            "telephone_number": "419-998-8214",
            "fax_number": "419-998-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 N Eastown Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458072209",
            "country_code": "US",
            "telephone_number": "419-224-4646",
            "fax_number": "419-224-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIMA MEMORIAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "UTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF LMP",
        "authorized_official_telephone_number": "419-998-4668"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457474900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2223703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMHS Medical Park Primary & Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Memorial Health System Family Medicine- West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Memorial Health System Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Memorial Specialists at Lima Memorial Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

All providers in Lima, OH · Pediatrics Physician in Ohio

Sources for this page

Verify at the official NPI Registry.