Edmon Wang Lim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101035379 Issued in VA

Practice address

Mount Vernon Hospital
2501 Parkers Lane
Alexandria, VA 22306

Phone

(703) 855-6889

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1831261783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 HOLLY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305627",
            "telephone_number": "703-385-1813",
            "fax_number": "703-385-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNT VERNON HOSPITAL",
            "address_2": "2501 PARKERS LANE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-855-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EDMON",
        "middle_name": "WANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101035379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5806461",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifemate Home Healthcare
• Lifespan Psychological Services
• Alexis D Light, MD
• Janel Lighty
• Bonita Lillie, RD
• Kuna Lim, O.D.
• Wei Qian Lim, PT, DPT
• Natalie L Lima-Garcia, FNP
• Stacey Lima
• Eugenia Lin, M.D.

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.