Organization Active NPI

W. Lima, M.D., P.a.

  • Specialist
  • Timonium, MD
National Provider Identifier
1558709345
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D23262 Issued in MD
Legal business name
W. LIMA, M.D., P.A.
Practice address
1905 York Rd
Timonium, MD 21093-4224
Phone
(410) 561-2424
Fax
(410) 252-1342
NPI assigned
Jun 13, 2013
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Weerasak W. Lima, M.D.
Title
President
Phone
(410) 561-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D23262 MD Primary

Addresses

Primary practice location

1905 York Rd
Timonium, MD 21093-4224

Mailing address

1905 York Rd
Timonium, MD 21093-4224
Phone (410) 561-2424

Other identifiers 3

IdentifierTypeStateIssuer
1982677688OtherMDNPI
974731100MedicaidMD
5407OtherMDMEDICARE PTEN

National Provider Directory

National Provider Directory

Locations

1905 York Rd
Timonium, MD 21093
Phone (410) 561-2424

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1558709345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934224",
            "telephone_number": "410-561-2424",
            "fax_number": "410-252-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934224",
            "telephone_number": "410-561-2424",
            "fax_number": "410-252-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. LIMA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "WEERASAK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-561-2424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D23262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982677688",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974731100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTEN",
            "identifier": "5407",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.