Nelson H. Lim MD, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

42036 Issued in AZ

Legal business name

NELSON H. LIM MD, LLC

Practice address

2563 S Val Vista Dr
Ste 101
Gilbert, AZ 85295-1804

Phone

(480) 722-9788

Fax

(480) 722-9789

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nelson H Lim, MD

Title

Ownerphysician

Phone

(480) 722-9788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1386870459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR",
            "address_2": "STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951804",
            "telephone_number": "480-722-9788",
            "fax_number": "480-722-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR",
            "address_2": "STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951804",
            "telephone_number": "480-722-9788",
            "fax_number": "480-722-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON H. LIM MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNERPHYSICIAN",
        "authorized_official_telephone_number": "480-722-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "42036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LIC",
            "identifier": "42036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.