Organization Active NPI

Family Physicians of Lima Inc

  • Family Medicine Physician
  • Spencerville, OH
National Provider Identifier
1669550182
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PHYSICIANS OF LIMA INC
Practice address
119 S Broadway
Spencerville, OH 45887
Phone
(419) 647-4165
Fax
(419) 647-4183
NPI assigned
Nov 1, 2006
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Ms. Karri L Krendl, M.D.NPI 1831183896
Title
Owner
Phone
(419) 991-7805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

119 S Broadway
Spencerville, OH 45887

Mailing address

2875 W Elm St
Lima, OH 45805
Phone (419) 991-7805

Other identifiers 8

IdentifierTypeStateIssuer
1184619595OtherOHNPI ELISE D CLARK CNP
1346235728OtherOHNPI CHRISTINE R GAYNIER M
1710972047OtherOHNPI ERIC T STALLKAMP MD
0823854OtherOHMEDICAID, GROUP #
1215941711OtherOHNPI TRACY L SHARP DO
1134112469OtherOHGROUP NPI#, PRIMARY OFFIC
1831183896OtherOHNPI KARRI L KRENDL MD
9934001OtherOHMEDICARE, GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000092 OH Part B Supplier - Clinic/Group Practice 7719961481 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lima, OH; Spencerville, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Physicians of Lima2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 S Broadway St
Spencerville, OH 45887
Phone (419) 647-4165

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1669550182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "telephone_number": "419-991-7805",
            "fax_number": "419-991-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY",
            "city": "SPENCERVILLE",
            "state": "OH",
            "postal_code": "45887",
            "telephone_number": "419-647-4165",
            "fax_number": "419-647-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF LIMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "KRENDL",
        "authorized_official_first_name": "KARRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-991-7805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ELISE D CLARK CNP",
            "identifier": "1184619595",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHRISTINE R GAYNIER M",
            "identifier": "1346235728",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ERIC T STALLKAMP MD",
            "identifier": "1710972047",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID, GROUP #",
            "identifier": "0823854",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TRACY L SHARP DO",
            "identifier": "1215941711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI#, PRIMARY OFFIC",
            "identifier": "1134112469",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KARRI L KRENDL MD",
            "identifier": "1831183896",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, GROUP #",
            "identifier": "9934001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.