| Family Physicians Of Lima Inc | |
|
2875 W Elm St Lima OH 45805-2510 | |
| (419) 991-7805 | |
| (419) 991-7862 |
| Full Name | Family Physicians Of Lima Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2875 W Elm St, Lima, Ohio |
| Authorized Official Name and Position | Karri L Krendl (OWNER) |
| Authorized Official Contact | 4199917805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Of Lima Inc 2875 W Elm St Lima OH 45805-2510 Ph: (419) 991-7805 | Family Physicians Of Lima Inc 2875 W Elm St Lima OH 45805-2510 Ph: (419) 991-7805 |
| NPI Number | 1134112469 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 7719961481 |
|---|---|
| Medicare Enrollment ID | O20040618000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134112469 | NPI | - | NPPES |
| 1215941711 | Other | OH | NPI# FOR DR. SHARP |
| 0823854 | Medicaid | OH | |
| 1831183896 | Other | OH | NPI# FOR DR. KRENDL |
| 1184619595 | Other | OH | NPI# FOR ELISE CLARK,CNP |
| 1669550182 | Other | OH | GROUP NPI# SATELLITE OFFI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elise D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184619595 PECOS PAC ID: 0345274478 Enrollment ID: I20050919000889 |
| Provider Name | Karri L Krendl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183896 PECOS PAC ID: 2062496730 Enrollment ID: I20051007000321 |
| Provider Name | Tracy Lynn Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215941711 PECOS PAC ID: 8527077692 Enrollment ID: I20060418000514 |
| Provider Name | Joel Nicholas Pohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235725490 PECOS PAC ID: 1153738075 Enrollment ID: I20210322000182 |
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