Individual provider Active NPI

Suh Yueh Lim, M.D.

  • Surgery Physician
  • Daytona Beach, FL
National Provider Identifier
1497074694
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME148651 Issued in FL
Practice address
201 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32114-2765
Phone
(386) 238-3295
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME148651 FL Primary

Addresses

Primary practice location

201 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32114-2765

Mailing address

201 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32114-2765
Phone (386) 238-3295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171106002083 AL Practitioner - General Surgery 8820318736 Reassigns benefits to 1 organization
I20220407001865 FL Practitioner - General Surgery 8820318736 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority CurrentSince Sep 25, 2017 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Florida Health Care Plan, Inc CurrentSince Mar 21, 2022 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Mar 21, 2022 Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

201 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32114
Phone (386) 238-3295

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1497074694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142765",
            "telephone_number": "386-238-3295",
            "fax_number": "386-238-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142765",
            "telephone_number": "386-238-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SUH",
        "middle_name": "YUEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME148651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.