NPIMap

Organization Active NPI

Internal Medicine Specialties Inc

  • Internal Medicine Physician
  • Lima, OH
National Provider Identifier
1376593822
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE SPECIALTIES INC
Practice address
920 W Market St
Suite 210
Lima, OH 45805-2773
Phone
(419) 229-3362
Fax
(419) 229-8258
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Dr. Kemi Larne Azeez, M.D.
Title
President
Phone
(419) 229-3362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

920 W Market St
Suite 210
Lima, OH 45805-2773

Mailing address

920 W Market St
Suite 210
Lima, OH 45805-2773
Phone (419) 229-3362

Other identifiers 1

IdentifierTypeStateIssuer
2097494MedicaidOH

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1376593822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W MARKET ST",
            "address_2": "SUITE 210",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052773",
            "telephone_number": "419-229-3362",
            "fax_number": "419-229-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W MARKET ST",
            "address_2": "SUITE 210",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052773",
            "telephone_number": "419-229-3362",
            "fax_number": "419-229-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "AZEEZ",
        "authorized_official_first_name": "KEMI",
        "authorized_official_middle_name": "LARNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-229-3362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097494",
            "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 Dec 10, 2019; 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.