| Mercy Health Physicians Lima, Llc | |
|
830 W High St Ste 206 Lima OH 45801-3996 | |
| (419) 227-7399 | |
| (419) 229-0123 |
| Full Name | Mercy Health Physicians Lima, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 W High St Ste 206, Lima, Ohio |
| Authorized Official Name and Position | Jeff Recker (DIRECTOR FINANCE, MEDICAL GROUP) |
| Authorized Official Contact | 4199962698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Physicians Lima, Llc 1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: (513) 981-5123 | Mercy Health Physicians Lima, Llc 830 W High St Ste 206 Lima OH 45801-3996 Ph: (419) 227-7399 |
| NPI Number | 1225292865 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 3375607351 |
|---|---|
| Medicare Enrollment ID | O20090206000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225292865 | NPI | - | NPPES |
| 2902863 | Medicaid | OH |
| Provider Name | Pratap Balusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083607519 PECOS PAC ID: 8022919836 Enrollment ID: I20040115000561 |
| Provider Name | Christine R Gaynier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346235728 PECOS PAC ID: 0840274528 Enrollment ID: I20040618000151 |
| Provider Name | Mandy Klass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235135260 PECOS PAC ID: 5193703742 Enrollment ID: I20040709001066 |
| Provider Name | Norman O Moser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093795650 PECOS PAC ID: 9638087901 Enrollment ID: I20040802001310 |
| Provider Name | Lisa Marie Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215909791 PECOS PAC ID: 3971574948 Enrollment ID: I20040803001363 |
| Provider Name | Mark T Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063464923 PECOS PAC ID: 2062498710 Enrollment ID: I20040809000024 |
| Provider Name | Jeffrey S Eiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538118559 PECOS PAC ID: 6305806126 Enrollment ID: I20041018000068 |
| Provider Name | Leah C Eiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669421129 PECOS PAC ID: 1850351677 Enrollment ID: I20041018000165 |
| Provider Name | Eric S Kirschner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295776888 PECOS PAC ID: 6204899586 Enrollment ID: I20041108000810 |
| Provider Name | Kelly Schroeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194861682 PECOS PAC ID: 6507814639 Enrollment ID: I20050105000975 |
| Provider Name | Ronald Ringwald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912945049 PECOS PAC ID: 0042264970 Enrollment ID: I20050317000443 |
| Provider Name | Brendon J Hovest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871589960 PECOS PAC ID: 6002849791 Enrollment ID: I20050913001335 |
| Provider Name | Stacy A Friesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649250119 PECOS PAC ID: 3870527948 Enrollment ID: I20050920000020 |
| Provider Name | Teresa Elizabeth Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821159575 PECOS PAC ID: 8527092451 Enrollment ID: I20050921000119 |
| Provider Name | Eric T Stallkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710972047 PECOS PAC ID: 1759306830 Enrollment ID: I20051007000419 |
| Provider Name | Glenn A Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588686794 PECOS PAC ID: 8628097219 Enrollment ID: I20051114000086 |
| Provider Name | Edward Jacobs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255330676 PECOS PAC ID: 0840213302 Enrollment ID: I20060111000000 |
| Provider Name | Glen Frederick Aukerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952359358 PECOS PAC ID: 1658394069 Enrollment ID: I20060112000074 |
| Provider Name | Tracy Lynn Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215941711 PECOS PAC ID: 8527077692 Enrollment ID: I20060418000514 |
| Provider Name | Jamie Reindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336164755 PECOS PAC ID: 0749287464 Enrollment ID: I20061023000050 |
| Provider Name | Michael David Martz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477563740 PECOS PAC ID: 3274530753 Enrollment ID: I20061025000452 |
| Provider Name | Jan M Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710015680 PECOS PAC ID: 9739271099 Enrollment ID: I20070816000739 |
| Provider Name | Eric Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619925534 PECOS PAC ID: 6406880863 Enrollment ID: I20070925000014 |
| Provider Name | Ann M Turnwald |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386865186 PECOS PAC ID: 4789764408 Enrollment ID: I20080108000438 |
| Provider Name | Angela Y Rackley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619178621 PECOS PAC ID: 3375626898 Enrollment ID: I20080207000051 |
| Provider Name | Scott E Hockenberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821079096 PECOS PAC ID: 5294756573 Enrollment ID: I20090126000608 |
| Provider Name | Bethany R Amstutz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255574299 PECOS PAC ID: 3375692577 Enrollment ID: I20090519000023 |
| Provider Name | Hemraj Makwana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245214196 PECOS PAC ID: 1052395092 Enrollment ID: I20101101000039 |
| Provider Name | Katelyn Leopold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785133 PECOS PAC ID: 7315116084 Enrollment ID: I20110815000412 |
| Provider Name | Teresa M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154608198 PECOS PAC ID: 9335306570 Enrollment ID: I20120131000526 |
| Provider Name | Ana Pere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568466332 PECOS PAC ID: 1052377793 Enrollment ID: I20120412000668 |
| Provider Name | Abigail Nartker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891065785 PECOS PAC ID: 8921261942 Enrollment ID: I20120531000235 |
| Provider Name | Daniel Kohls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447505854 PECOS PAC ID: 2264689389 Enrollment ID: I20120824000467 |
| Provider Name | Eric Amstutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869863 PECOS PAC ID: 5193972081 Enrollment ID: I20120828000827 |
| Provider Name | Ashton Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871849828 PECOS PAC ID: 7315195542 Enrollment ID: I20120913000331 |
| Provider Name | Jacinta C. Eickholt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356500805 PECOS PAC ID: 9739330515 Enrollment ID: I20121105000497 |
| Provider Name | Mark D. Kahle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881915288 PECOS PAC ID: 4789822289 Enrollment ID: I20130522000447 |
| Provider Name | Brian Jay Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689986598 PECOS PAC ID: 9234371865 Enrollment ID: I20130812000468 |
| Provider Name | Kent Brandeberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629164728 PECOS PAC ID: 9234364761 Enrollment ID: I20131108000748 |
| Provider Name | Anil K Muddada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386877751 PECOS PAC ID: 8022288570 Enrollment ID: I20140523000506 |
| Provider Name | Jason D Hageman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851619936 PECOS PAC ID: 1759507098 Enrollment ID: I20140723001234 |
| Provider Name | Joanna C Kauffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578875456 PECOS PAC ID: 1254550114 Enrollment ID: I20140909000700 |
| Provider Name | Timothy Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689081077 PECOS PAC ID: 5193892891 Enrollment ID: I20140916002548 |
| Provider Name | James L. Niese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891100376 PECOS PAC ID: 2769602481 Enrollment ID: I20141001000985 |
| Provider Name | Alisa Marzec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066526 PECOS PAC ID: 3476724386 Enrollment ID: I20141009001998 |
| Provider Name | Angela Nichol Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438409 PECOS PAC ID: 8224354006 Enrollment ID: I20150313002040 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20150415001799 |
| Provider Name | Brenda K Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447638325 PECOS PAC ID: 0244545820 Enrollment ID: I20150811004636 |
| Provider Name | Kurt A Brickner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952709800 PECOS PAC ID: 0244531408 Enrollment ID: I20151214001429 |
| Provider Name | Michelle K Katterheinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578938429 PECOS PAC ID: 6709180730 Enrollment ID: I20160211000182 |
| Provider Name | Krystal Umfleet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931968 PECOS PAC ID: 7911203211 Enrollment ID: I20160314000583 |
| Provider Name | Jill Elwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104224542 PECOS PAC ID: 9133427826 Enrollment ID: I20160413001180 |
| Provider Name | Danielle R Westrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629311311 PECOS PAC ID: 3173764032 Enrollment ID: I20160802001279 |
| Provider Name | Jenelle M Niese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861845158 PECOS PAC ID: 6103111307 Enrollment ID: I20160826002286 |
| Provider Name | Jami J Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063965879 PECOS PAC ID: 6709171747 Enrollment ID: I20160830000505 |
| Provider Name | Adam R Osterhage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083141337 PECOS PAC ID: 4688930811 Enrollment ID: I20171103002557 |
| Provider Name | Lance R Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799562 PECOS PAC ID: 6204193956 Enrollment ID: I20171205001638 |
| Provider Name | Valerie R. Pingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285132951 PECOS PAC ID: 8921368937 Enrollment ID: I20180213002310 |
| Provider Name | Jennifer E Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700387537 PECOS PAC ID: 0840552048 Enrollment ID: I20180328002211 |
| Provider Name | Patrice Scipio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437440195 PECOS PAC ID: 5092952093 Enrollment ID: I20180502001221 |
| Provider Name | Jessica L Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326537556 PECOS PAC ID: 4981951761 Enrollment ID: I20180725001449 |
| Provider Name | Rusheeth R Thummalapally |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952718843 PECOS PAC ID: 6002113651 Enrollment ID: I20180821000317 |
| Provider Name | Hamid R Khatibi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306325931 PECOS PAC ID: 1355694266 Enrollment ID: I20181023001789 |
| Provider Name | Karla K Boroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376019364 PECOS PAC ID: 5991042921 Enrollment ID: I20190129000601 |
| Provider Name | Krystal Dawn Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841784089 PECOS PAC ID: 2860731601 Enrollment ID: I20190222000819 |
| Provider Name | Tricia Stoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710443510 PECOS PAC ID: 7618217241 Enrollment ID: I20190319001247 |
| Provider Name | Trent J Rahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093271900 PECOS PAC ID: 7113260191 Enrollment ID: I20190514002223 |
| Provider Name | Patricia Albano-seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699328294 PECOS PAC ID: 6204165392 Enrollment ID: I20190916002019 |
| Provider Name | Benjamin A Kuhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467376 PECOS PAC ID: 5698005726 Enrollment ID: I20191002002639 |
| Provider Name | Laura Ann Beckett-avery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659644755 PECOS PAC ID: 5698006849 Enrollment ID: I20191018002656 |
| Provider Name | Daniel Robert Fial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821551631 PECOS PAC ID: 3476885013 Enrollment ID: I20191030003351 |
| Provider Name | Natalie Wiegers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922648658 PECOS PAC ID: 3274961792 Enrollment ID: I20200317000725 |
| Provider Name | Lilly Bontrager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033120993 PECOS PAC ID: 8022042639 Enrollment ID: I20200707003271 |
| Provider Name | Wendy L Shutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982128328 PECOS PAC ID: 1951674308 Enrollment ID: I20210617002463 |
| Provider Name | Timothy Deemer Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669973665 PECOS PAC ID: 3173888591 Enrollment ID: I20210719002923 |
| Provider Name | Kaitlin Elizabeth Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750882759 PECOS PAC ID: 5193080513 Enrollment ID: I20210720001608 |
| Provider Name | Kathleen Ingraham Castellanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467995126 PECOS PAC ID: 3375933971 Enrollment ID: I20211213002605 |
| Provider Name | Johnathan Gene Spitnale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285197046 PECOS PAC ID: 4082940531 Enrollment ID: I20220705003084 |
| Provider Name | Tyler J Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104550565 PECOS PAC ID: 1759767676 Enrollment ID: I20220929003627 |
| Provider Name | Elyssa Lynn Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992410468 PECOS PAC ID: 3870967987 Enrollment ID: I20230313000749 |
| Provider Name | Ashley Christine Hoblit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089292 PECOS PAC ID: 1658782289 Enrollment ID: I20230628002198 |
| Provider Name | Matthew Robert Flaherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144885625 PECOS PAC ID: 1759619943 Enrollment ID: I20230703002142 |
| Provider Name | Alecksa Noelle Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801570494 PECOS PAC ID: 6608236401 Enrollment ID: I20230712000593 |
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Clinical Neuropsychological Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 Mackenzie Dr, Lima, OH 45805 Phone: 419-222-5672 Fax: 419-222-6786 | |
Professional Psychological Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3745 Shawnee Rd Ste 105, Lima, OH 45806 Phone: 419-999-2024 Fax: 419-999-2024 | |
Lima Memorial Health System Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave Ste 350, Lima, OH 45804 Phone: 419-998-8200 Fax: 419-998-8203 | |
Vitae Health Medical Ohio Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 599 S Shawnee St, Lima, OH 45804 Phone: 419-227-2154 | |
Astop Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 N Main St, Ste 6, Lima, OH 45801 Phone: 419-222-4557 Fax: 419-224-8608 |