Organization Active NPI

Mercy Health-St Ritas Medical Center LLC

  • Cardiovascular Disease Physician
  • Lima, OH
National Provider Identifier
1992705669
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34004184 Issued in OH
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Practice address
830 W High St
Ste. 208
Lima, OH 45801-3971
Phone
(419) 996-5089
Fax
(419) 996-5295
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Kathy Robinson, RN
Title
Office Manager
Phone
(419) 996-5089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 34004184 OH Primary

Addresses

Primary practice location

830 W High St
Ste. 208
Lima, OH 45801-3971

Mailing address

830 W High St
Ste. 208
Lima, OH 45801-3971
Phone (419) 996-5089

Other identifiers 1

IdentifierTypeStateIssuer
2534449MedicaidOH

Other names 1

  • Cardiovascular Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2160 Ewing Crawfis Cir
Ste A
Bellefontaine, OH 43311

900 Havemann Rd
Ste C
Celina, OH 45822
Phone (419) 584-1900

900 Havemann Rd
Ste B
Celina, OH 45822
Phone (419) 586-0990

328 W 2nd St
Delphos, OH 45833
Phone (419) 692-6618

830 W High St
Lima, OH 45801
Phone (419) 226-9694

2745 Fort Amanda Rd
Ste B
Lima, OH 45805

830 W High St
Ste 208
Lima, OH 45801
Phone (419) 996-5089

730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852

939 W Market St
Lima, OH 45805
Phone (419) 226-5077

770 W High St
Ste 455
Lima, OH 45801
Phone (419) 228-2626

582 N Cable Rd
Lima, OH 45805
Phone (419) 996-2500

770 W High St
Ste 160B
Lima, OH 45801
Phone (419) 996-5224

2501 Slabtown Rd
Lima, OH 45801
Phone (419) 940-1670

300 W Market St
Lima, OH 45801
Phone (419) 996-5163

718 W Market St
Fl 4
Lima, OH 45801

2765 Fort Amanda Rd
Ste B
Lima, OH 45805

110 Selhorst Dr
Ottawa, OH 45875
Phone (419) 523-6329

300 W McCreight Ave Ste 211
Springfield, OH 45504

300 W McCreight Ave
Springfield, OH 45504

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1992705669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "STE. 208",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013971",
            "telephone_number": "419-996-5089",
            "fax_number": "419-996-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "STE. 208",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013971",
            "telephone_number": "419-996-5089",
            "fax_number": "419-996-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST RITAS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-996-5089",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34004184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2534449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.