Evelyn Esther Jimenez-Medina, M.D.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

35069085J Issued in OH

Practice address

658 W Market St
Ste 117
Lima, OH 45801-4697

Phone

(419) 222-3482

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518963131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST",
            "address_2": "STE 117",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014697",
            "telephone_number": "419-222-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST",
            "address_2": "STE 117",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014697",
            "telephone_number": "419-222-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-MEDINA",
        "first_name": "EVELYN",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "OH",
            "license": "35069085J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189326",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417179730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lajae Jennings
• Jeune Concierge Nursing LLC (PrimePath Diagnostics)
• Veronica Marie Jewett, CDCA
• Jicha Chiropractic
• Thomas G Jicha, D.C.
• Felecia Jinwala, MD
• John T Archer & Associates Inc (Premier Vision Group)
• John T Archer OD & Assoc Inc
• Susan John, MD
• Robert A. Johns, LCPED

• Rehabilitation Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Rehabilitation Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.