| Phillip Arthur Immesoete Ii, MD | |
|
770 W High St Ste 160, Lima, OH 45801-5900 | |
| (419) 995-4960 | |
| (419) 995-4961 |
| Full Name | Phillip Arthur Immesoete Ii |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 770 W High St Ste 160, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609089317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35.090300 (Ohio) | Primary |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Arthur Immesoete Ii, MD 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 995-4960 | Phillip Arthur Immesoete Ii, MD 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 995-4960 |
Dr. Fredric Lax, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suite 390, Lima, OH 45801 Phone: 419-996-5202 | |
Asem Salma, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 W High St Ste 307, Lima, OH 45801 Phone: 419-995-4960 Fax: 419-995-4961 | |
Robert Love Baker Ii, DO Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Dr. Monica W Loke, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave Ste 225, Lima, OH 45804 Phone: 419-998-8200 Fax: 419-998-8203 | |
Dr. Jeffrey Stuart Lobel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Charles Owen Wood, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-995-4960 Fax: 419-995-4961 | |
Dr. David Alan Cooley, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 100, Lima, OH 45804 Phone: 419-998-8234 Fax: 419-998-8233 |