Individual provider Active NPI

Philip E Havens, MD

  • Orthopaedic Surgery Physician
  • Lima, OH
National Provider Identifier
1184602278
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
53470 Issued in OH
Practice address
801 Medical Dr Ste a
Lima, OH 45804-4030
Phone
(419) 222-6622
Fax
(419) 224-0015
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 53470 OH Primary

Addresses

Primary practice location

801 Medical Dr Ste a
Lima, OH 45804-4030

Mailing address

801 Medical Dr Ste a
Lima, OH 45804-4030
Phone (419) 222-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000492 OH Practitioner - Orthopedic Surgery 2860394517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Ohio, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 Medical Dr
Suite a
Lima, OH 45804-4030
Phone (419) 222-6622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
62.75
Promoting interoperability
92
Improvement activities
40
Cost
73.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)25
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53470OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Ohio, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
Orthopaedic Institute of Ohio, Inc Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1501 Bright Rd
Findlay, OH 45840
Phone (419) 424-0131

801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205

801 Medical Dr
Ste A
Lima, OH 45804
Phone 41922266223301

27 St Lawrence Dr
Ste 102
Tiffin, OH 44883
Phone (419) 448-7424

102 Woodmont Blvd
Ste 350
Nashville, TN 37205
Phone (615) 297-1020

Interoperability endpoints

  • Direct secure messaging: philip.havens@oio.eclinicaldirectplus.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1184602278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044030",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044030",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "53470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.