Prime Care Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35073659A Issued in OH

Legal business name

PRIME CARE MEDICAL SERVICES

Practice address

825 W Market St
Lima, OH 45805-2799

Phone

(419) 331-9797

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olugbenga Awe, MD

Title

Owner

Phone

(912) 408-2555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942303078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 TIQUA TRL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054705",
            "telephone_number": "419-331-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052799",
            "telephone_number": "419-331-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AWE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-408-2555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073659A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Care of Ohio LLC (CMS Lima (CMHC))
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• Premier Care of Ohio, LLC.
• Premier Heart Associates, Inc
• Taylor Nicole Price
• Adrian J Prince, PHARM.D.
• Haylee Jean Prine
• Pro2 Respiratory Services Lima, LLC (PRO2 Respiratory Services)
• Aleksey A Prok, M.D
• Michelle Leann Prowant, CNP

• Internal Medicine Physician in Lima, OH
• Providers in Lima, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.