Active NPI
Tiffany Lim
- Pediatric Cardiology Physician
- Bend, OR
National Provider Identifier
1437578341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MD202882
- Practice address
- 2041 NE Williamson CT
Bend, OR 97701-3925 - Phone
- (541) 639-8333
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Cardiology Physician | 2080P0202X | MD202882 | OR | Primary |
Addresses
Primary practice location
2041 NE Williamson CT
Bend, OR 97701-3925
Mailing address
2690 Northrop Ave
Sacramento, CA 95864-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD202882 | OR | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Past | Accepting new patients | |
| Children'S Heart Center of Central Oregon LLC | Past | Accepting new patients |
Interoperability endpoints
- tlim559188@direct.peacehealth.org
Organizations & group practices 2
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.
-
- Specialist
- Bend, OR
- NPI 1306244694
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1437578341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 NORTHROP AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958647714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 NE WILLIAMSON CT",
"city": "BEND",
"state": "OR",
"postal_code": "977013925",
"telephone_number": "541-639-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OR",
"license": "MD202882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.