NPIMap

Individual provider Active NPI

David J Neidhardt, MD

  • Family Medicine Physician
  • Lima, OH
National Provider Identifier
1396797510
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35055419 Issued in OH
Practice address
915 W Market St
Lima, OH 45805-2768
Phone
(419) 229-4747
Fax
(419) 224-3348
NPI assigned
May 16, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35055419 OH Primary

Addresses

Primary practice location

915 W Market St
Lima, OH 45805-2768

Mailing address

915 W Market St
Lima, OH 45805-2768
Phone (419) 229-4747

Other identifiers 4

IdentifierTypeStateIssuer
P00072000OtherOHMEDICARE RAILROAD
000000317842OtherOHANTHEM/BCBS
010024599OtherOHMEDICARE RR
0681785MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127001067 OH Practitioner - Emergency MedicinePractitioner - Family Practice 2365345527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Medical College of Ohio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Market Street Family PhysGroup PAC ID 7517943269, 4 clinicians

Practice addresses (Care Compare)

915 W Market St
Suite E
Lima, OH 45805-2769
Phone (419) 229-4747

915 W Market St E
Lima, OH 45805-2769

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055419OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Market Street Family Phys Family Medicine CurrentSince Jul 18, 1989 Accepting new patients
Mercy Health-St Ritas Medical Center LLC Current Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shelby County Memorial Hospital Association Inc. Past Accepting new patients

Locations

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

915 W Market St
Lima, OH 45805
Phone (419) 228-3600

915 W Market St
Ste E
Lima, OH 45805
Phone (419) 229-4747

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

Interoperability endpoints

  • Direct secure messaging: dneidhardt52452@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1396797510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052768",
            "telephone_number": "419-229-4747",
            "fax_number": "419-224-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052768",
            "telephone_number": "419-229-4747",
            "fax_number": "419-224-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDHARDT",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35055419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00072000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000317842",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "010024599",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681785",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.