Organization Active NPI

Rheumatology Clinic of Lima, LLC

  • Specialist
  • Lima, OH
National Provider Identifier
1205025699
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35077426P Issued in OH
Legal business name
RHEUMATOLOGY CLINIC OF LIMA, LLC
Practice address
750 W High St
Suite 260
Lima, OH 45801-2969
Phone
(419) 222-3758
Fax
(419) 222-2023
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Vivian P Hobayan, M.D.NPI 1790852333
Title
Doctor
Phone
(419) 222-3758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35077426P OH Primary

Addresses

Primary practice location

750 W High St
Suite 260
Lima, OH 45801-2969

Mailing address

750 W High St
Suite 260
Lima, OH 45801-2969
Phone (419) 222-3758

Other identifiers 1

IdentifierTypeStateIssuer
2165615MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000204 OH Part B Supplier - Clinic/Group Practice 8022105139 Receives reassigned benefits from 1 practitioner
Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

750 W High St
Ste 260
Lima, OH 45801
Phone (419) 222-3758

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBFCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1205025699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "SUITE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012969",
            "telephone_number": "419-222-3758",
            "fax_number": "419-222-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "SUITE 260",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012969",
            "telephone_number": "419-222-3758",
            "fax_number": "419-222-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY CLINIC OF LIMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "HOBAYAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "419-222-3758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35077426P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.