Internal Medicine Primary Care Inc | |
920 W Market St Ste 210a Lima OH 45805-2777 | |
(419) 227-7770 | |
(419) 229-8258 |
Full Name | Internal Medicine Primary Care Inc |
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Speciality | Family Medicine |
Location | 920 W Market St Ste 210a, Lima, Ohio |
Authorized Official Name and Position | Diane Swartz (OFFICE MANAGER) |
Authorized Official Contact | 4192293362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Primary Care Inc 920 W Market St Ste 210a Lima OH 45805-2777 Ph: (419) 227-7770 | Internal Medicine Primary Care Inc 920 W Market St Ste 210a Lima OH 45805-2777 Ph: (419) 227-7770 |
NPI Number | 1730713967 |
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Provider Enumeration Date | 02/26/2020 |
Last Update Date | 03/16/2023 |
Medicare PECOS PAC ID | 8527474592 |
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Medicare Enrollment ID | O20210317001775 |
Identifier | Type | State | Issuer |
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1730713967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Kemi Lanre Azeez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649231861 PECOS PAC ID: 4880689439 Enrollment ID: I20040518000804 |
Provider Name | Olayinka Olatokunbo Omitowoju |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164483327 PECOS PAC ID: 3779574975 Enrollment ID: I20040518000991 |
Provider Name | Sasikala T Shanmugam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699736868 PECOS PAC ID: 0648261867 Enrollment ID: I20040518001098 |
Provider Name | Jessica A Dailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023360864 PECOS PAC ID: 9335381789 Enrollment ID: I20130814000305 |
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