Individual provider Active NPI

Bee Min Lim, MD

  • Colon & Rectal Surgery Physician
  • Youngstown, OH
National Provider Identifier
1144213877
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
35-04-4135-L Issued in OH
Practice address
16 Colonial Dr
Youngstown, OH 44505-2137
Phone
(330) 759-8545
Fax
(330) 759-8543
NPI assigned
Aug 29, 2005
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 35-04-4135-L OH Primary
Colon & Rectal Surgery Physician 208C00000X MD026915E PA
Colon & Rectal Surgery Physician 208C00000X 01029305A IL

Addresses

Primary practice location

16 Colonial Dr
Youngstown, OH 44505-2137

Mailing address

16 Colonial Dr
Youngstown, OH 44505-2137
Phone (330) 759-8545

Other identifiers 9

IdentifierTypeStateIssuer
3233483OtherPASUPERBLUE HMO
000000129553OtherANTHEM
040000OtherPAKEYSTONE HEALTH PLAN
83407OtherQUALCHOICE
0514689MedicaidOH
8888601001OtherCIGNA
0965835MedicaidOH
1400019OtherUNITED HEALTH CARE
CO100187OtherPAHIGHMARK PA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01029305AILMDColon & Rectal Surgery Physician
MD026915EPAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorectal Assoc Inc Colon & Rectal Surgery Current Accepting new patients

Locations

16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1144213877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052137",
            "telephone_number": "330-759-8545",
            "fax_number": "330-759-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052137",
            "telephone_number": "330-759-8545",
            "fax_number": "330-759-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BEE",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35-04-4135-L",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD026915E",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "01029305A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERBLUE HMO",
            "identifier": "3233483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "040000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "83407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514689",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8888601001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965835",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1400019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "CO100187",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.