NPIMap

Organization Active NPI

Lima Memorial Professional Corporation

Doing business as Midwest Surgical Specialists - Urology at Kenton

  • Urology Physician
  • Kenton, OH
National Provider Identifier
1760848139
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LIMA MEMORIAL PROFESSIONAL CORPORATION
Doing business as
Midwest Surgical Specialists - Urology at Kenton
Practice address
1211 E Columbus St
Kenton, OH 43326-1760
Phone
(419) 998-8276
Fax
(419) 998-8277
NPI assigned
Jan 14, 2016
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Jeff Utz
Title
Director of LMP
Phone
(419) 998-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1211 E Columbus St
Kenton, OH 43326-1760

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1457474900OtherOHGROUP NPI
2223703MedicaidOH

Other names 1

  • Midwest Surgical Specialists - Urology at Kenton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lima Memorial Prof Co40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1760848139",
    "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": "1211 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261760",
            "telephone_number": "419-998-8276",
            "fax_number": "419-998-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA MEMORIAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "UTZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF LMP",
        "authorized_official_telephone_number": "419-998-4668"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457474900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2223703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Surgical Specialists - Urology at Kenton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.