Mima Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

3890924 Issued in OH

Legal business name

MIMA INC.

Practice address

1069 Delaware Ave
Ste 105
Marion, OH 43302-1400

Phone

(740) 382-9024

Fax

(740) 888-1871

NPI assigned

Apr 19, 2016

Organization subpart

Yes

Parent organization

MIDWEST INTERNAL MEDICINE ASSOC.As reported in NPPES

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

Authorized official

Name

Kelly McCoy

Title

Manager

Phone

(740) 616-8052

Specialties & licenses 1

Addresses

Part of

Midwest Internal Medici

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Midwest Internal Medicine Associates LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1003001538
  NPPES parent name

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1740634500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027457",
            "telephone_number": "740-389-2297",
            "fax_number": "740-888-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 DELAWARE AVE",
            "address_2": "STE 105",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021400",
            "telephone_number": "740-382-9024",
            "fax_number": "740-888-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST INTERNAL MEDICINE ASSOC.",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-616-8052"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "3890924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Joe Miller, O.D.
• Zachary Joel Miller, PA-C
• Kyisha Leigh Milligan, CDCA-PRE
• Melissa Milligan, PAC
• Amanda Jane Miltz
• Michael Mines
• Robin Mines, LSW
• Lori Minner, STNA
• Amy Minnig
• Erin Minter, PHARM.D.

• Specialist in Marion, OH
• Providers in Marion, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.