LIMA MEMORIAL HEALTH SYSTEM SURGICAL SERVICES - NPI 1417114703

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

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About Lima Memorial Health System Surgical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIMA MEMORIAL HEALTH SYSTEM SURGICAL SERVICES (NPI 1417114703) is a healthcare organization registered as a surgery in Lima, Ohio and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Jeffrey Utz, Director Of Lmp, as its authorized official.

NPPES Registry Identity

NPI1417114703

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameLIMA MEMORIAL PROFESSIONAL CORPORATION

Location Address1003 BELLEFONTAINE AVE STE 125Lima, OH 45804-1867

Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586

Phone(419) 998-8207

Fax(419) 998-8216

Organization SubpartNo

Authorized OfficialJeffrey UtzDirector Of Lmp · (419) 998-4668

Enumeration DateMay 22, 2008

Last NPPES UpdateApril 9, 20228 updates tracked since enumeration

NPPES CertifiedApril 9, 2022

✔ NPI 1417114703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

1003 BELLEFONTAINE AVE STE 125, Lima, OH 45804

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Other Names 3

Doing Business AsLima Memorial Health System Surgical Services

Doing Business AsMidwest Surgical Specialists

Doing Business AsMidwest Surgical Specialists Spine And Neurosurgery

Other Identifiers 2

Other1457474900OH · Group Npi

Medicaid2223703OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2084615

Lima Memorial Health System Surgical Specialists · Lima, OH

Active · expires Sep 25, 2026

CLIA Number36D2084615

Laboratory TypePhysician Office

Certificate Effective DateSeptember 26, 2024

Certificate Expiration DateSeptember 25, 2026

Laboratory DirectorShannon R. Wesley

Laboratory Phone(419) 998-8207

Laboratory LocationLima Memorial Health System Surgical Specialists1003 Bellefontaine Ave Suite 125, Lima, OH 45804

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON E COLVIN M.D.

Surgery