1. Home
  2. Directory
  3. Ohio
  4. Lima
  5. Surgery
  6. NPI Profile

LIMA MEMORIAL HEALTH SYSTEM SURGICAL SERVICES
NPI 1417114703
Surgery in Lima, OH

Active since May 22, 2008CLIA 36D2084615 · Waiver
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804(419) 998-8207(419) 998-8216 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2022, Sep 17, 2020, Jul 2, 2019 and 5 more (8 updates tracked since 2016).

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
Open in Google Maps ↗

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
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
ROBERT LOVE BAKER II DO
Neurological Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
NOORUL HASAN KHAN M.D.
Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
SHANNON R WESLEY
Colon & Rectal Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
MR. JOHN R GRIFFITH CNP
Nurse Practitioner
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
TERESA RENEE WALTERS
Nurse Practitioner (Family)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
DR. PHILIP SCOTT GAFFORD MD
Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
ANDREW T FISCHBACH
Physician Assistant (Surgical)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lima Memorial Professional Corporation's NPI number?

The NPI number for Lima Memorial Professional Corporation is 1417114703. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Lima Memorial Professional Corporation located?

Lima Memorial Professional Corporation is located at 1003 Bellefontaine Ave Ste 125, Lima, OH 45804. The listed phone number is (419) 998-8207.

What is Lima Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Lima Memorial Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2084615) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lima Memorial Professional Corporation was last updated on April 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.