Individual provider Active NPI

Alexander Horstman, PA-C

  • Physician Assistant
  • Lima, OH
National Provider Identifier
1720239759
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002829RX Issued in OH
Practice address
1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803
Phone
(419) 224-5915
Fax
(419) 224-5918
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002829RX OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave Ste 200
Lima, OH 45804-1803

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alexander.horstman@lmpc.eclinicaldirectplus.com
RESTful URL alexander.horstman@lmpc.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000152 OH Practitioner - Physician Assistant 6800953902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

1003 Bellefontaine Ave
Suite 200
Lima, OH 45804-1803
Phone (419) 227-7702

140 Fox Rd
Suite 103 1/2
Van Wert, OH 45891-3400
Phone (419) 232-6700

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2017 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2017 Accepting new patients
Ohio Emergency Physicians LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914

1003 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

951 Commerce Pkwy
Ste 100
Lima, OH 45804

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1720239759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041803",
            "telephone_number": "419-224-5915",
            "fax_number": "419-224-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMAN",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002829RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.horstman@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Bellefontaine Ave Ste 200",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "alexander.horstman@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1003 Bellefontaine Ave Ste 200",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.