Individual provider Active NPI

Wayne Court, M.D.

  • Radiation Oncology Physician
  • Lima, OH
National Provider Identifier
1821093659
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35-071505 Issued in OH
Practice address
525 N Eastown Rd Ste B
Lima, OH 45807-2268
Phone
(419) 998-4496
Fax
(419) 998-4463
NPI assigned
Jun 17, 2005
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301060458 MI
Radiation Oncology Physician 2085R0001X 35-071505 OH Primary

Addresses

Primary practice location

525 N Eastown Rd Ste B
Lima, OH 45807-2268

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4496

Other practice location 1

3000 Regency Ct
Ste 207
Toledo, OH 43623-3092
Phone (419) 471-0493

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address limamemorialhealthsystem@limamemorial.medicity.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000138 OH Practitioner - Radiation Oncology 9638233489 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-071505OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 1, 2020 Accepting new patients
Lima Memorial Professional Corporation PastSince Dec 29, 2019 Accepting new patients
Lima Memorial Joint Operating Company PastSince Dec 29, 2019 Accepting new patients

Locations

L3982
Columbus, OH 43260

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

525 N Eastown Rd
Ste B
Lima, OH 45807
Phone (419) 998-4496

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1821093659",
    "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": "419-998-4496",
            "fax_number": "419-998-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N EASTOWN RD STE B",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072268",
            "telephone_number": "419-998-4496",
            "fax_number": "419-998-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Regency Ct",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233092",
            "country_code": "US",
            "telephone_number": "419-471-0493",
            "fax_number": "419-474-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURT",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301060458",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35-071505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "limamemorialhealthsystem@limamemorial.medicity.net",
            "affiliation": "N",
            "address_1": "525 N Eastown Rd Ste B",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458072268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.