NPIMap

Organization Active NPI

Lima Neurocare Inc

  • Medical Specialty Clinic/Center
  • Bentonville, AR
National Provider Identifier
1356510309
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35078468 Issued in OH
Legal business name
LIMA NEUROCARE INC
Practice address
811 SE 28TH St Ste 5
Bentonville, AR 72712-4294
Phone
(479) 254-9761
Fax
(479) 254-9732
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Ahmad Al-Khatib, M.D.
Title
President
Phone
(479) 254-9761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35078468 OH Primary

Addresses

Primary practice location

811 SE 28TH St Ste 5
Bentonville, AR 72712-4294

Mailing address

811 SE 28TH St Ste 5
Bentonville, AR 72712-4294
Phone (479) 254-9761

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1356510309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SE 28TH ST STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124294",
            "telephone_number": "479-254-9761",
            "fax_number": "479-254-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SE 28TH ST STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124294",
            "telephone_number": "479-254-9761",
            "fax_number": "479-254-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA NEUROCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "AL-KHATIB",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-254-9761",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35078468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.