Active NPI
Dawson Lim, M.D.
- Specialist
- Monongahela, PA
National Provider Identifier
1356304513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD019666E
- Practice address
- 1163 Country Club Rd
Monongahela, PA 15063-1013 - Phone
- (724) 292-9404
- Fax
- (724) 292-9128
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD019666E | PA | Primary |
Addresses
Primary practice location
1163 Country Club Rd
Monongahela, PA 15063-1013
Mailing address
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 292-9404
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014010 | Other | PA | GATEWAY |
| 170411 | Medicaid | PA | |
| 421079 | Other | PA | BLUE SHIELD |
| 250760 | Other | PA | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mon-Vale Oncology, Inc. | Specialist | Current | Accepting new patients |
Locations
1163 Country Club Rd
Fl 2
Monongahela, PA 15063
Phone (724) 292-9404
1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1356304513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631013",
"telephone_number": "724-292-9404",
"fax_number": "724-292-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631013",
"telephone_number": "724-292-9404",
"fax_number": "724-292-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "DAWSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD019666E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1014010",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170411",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "421079",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "250760",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monongahela, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.