Lima Urology Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LIMA UROLOGY INC

Practice address

770 West High Street
Suit 350
Lima, OH 45801-5901

Phone

(419) 228-8950

Fax

(419) 224-7904

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Russell J Taylor, MD

Title

Owner

Phone

(419) 228-8950

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1992916316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WEST HIGH STREET",
            "address_2": "SUIT 350",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015901",
            "telephone_number": "419-228-8950",
            "fax_number": "419-224-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WEST HIGH STREET",
            "address_2": "SUIT 350",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015901",
            "telephone_number": "419-228-8950",
            "fax_number": "419-224-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-8950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206759",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.