Midwest Vein & Laser Center of Lima

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35.050244 Issued in OH

Legal business name

MIDWEST VEIN & LASER CENTER OF LIMA

Practice address

770 W High St
Suite 420
Lima, OH 45801-3990

Phone

(419) 222-8346

Fax

(419) 225-8549

NPI assigned

Jun 19, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allen Davis, MD

Title

Managing Partner

Phone

(419) 222-8346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1477714764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST",
            "address_2": "SUITE 420",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013990",
            "telephone_number": "419-222-8346",
            "fax_number": "419-225-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST",
            "address_2": "SUITE 420",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013990",
            "telephone_number": "419-222-8346",
            "fax_number": "419-225-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VEIN & LASER CENTER OF LIMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "419-222-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.050244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Sheehan, M.D. LLC
• Mid West Infectious Disease
• Mid-West Surgical Specialists, Inc
• Mid-West Vascular Institute Inc
• Midwest Hospitalist Physicians LLP
• Philip B. Mikesell, D. D. S.
• David C Miklos, CRNA
• Drenessa Fay Miles
• Millbourn CNP, Inc
• Alexus Miller-Schmenk

• Vascular Surgery Physician in Lima, OH
• Providers in Lima, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.