Craig Anthony Imm, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35.125136 Issued in OH

Practice address

121 W High St
Suite 1103
Lima, OH 45801-4340

Phone

(419) 228-1506

Fax

(419) 228-3352

NPI assigned

May 18, 2011

Last updated

May 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Ohio State University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Lima IncGroup PAC ID 4486553013, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Associates of Lima Inc

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487662300

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official

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

• Mercy Health-St Ritas Medical Center LLC

  dba Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-St Rita's Medical Center

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1265725683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W HIGH ST",
            "address_2": "SUITE 1103",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014340",
            "telephone_number": "419-228-1506",
            "fax_number": "419-228-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W HIGH ST",
            "address_2": "SUITE 1103",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014340",
            "telephone_number": "419-228-1506",
            "fax_number": "419-228-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMM",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.125136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.