Individual provider Active NPI

Joseph J. Sreenan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lima, OH
National Provider Identifier
1659390474
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35-06-9754-S Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 221-2042
Fax
(419) 996-5298
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-06-9754-S OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

10335 N Port Washington Rd
Suite 250
Mequon, WI 53092-5763
Phone (262) 240-9870

Other identifiers 1

IdentifierTypeStateIssuer
292759MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000456 OH Practitioner - Pathology 1355397571 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Medical Laboratories, LLC Current Accepting new patients
Diagnostic Pathology, LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Lima Pathology Associates Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1996 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11311 Cornell Park Dr
Ste 420
Blue Ash, OH 45242

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1659390474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 N PORT WASHINGTON RD",
            "address_2": "SUITE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925763",
            "telephone_number": "262-240-9870",
            "fax_number": "262-240-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-221-2042",
            "fax_number": "419-996-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREENAN",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-06-9754-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.