| Lima Umadaop | |
|
311 E Market St Fl 3 Lima OH 45801-4535 | |
| (419) 222-4474 | |
| (419) 222-7044 |
| Full Name | Lima Umadaop |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 E Market St Fl 3, Lima, Ohio |
| Authorized Official Name and Position | Myrtle B. Boykin-lighton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4192224474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 | Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 |
| NPI Number | 1629144050 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 4082946108 |
|---|---|
| Medicare Enrollment ID | O20191022003825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629144050 | NPI | - | NPPES |
| 2627661 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 5004 (Ohio) | Primary |
| Provider Name | Teymour Sepahbodi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992748230 PECOS PAC ID: 5890731590 Enrollment ID: I20070213000190 |
| Provider Name | Panagiotis T. Doukides |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780793661 PECOS PAC ID: 8921267303 Enrollment ID: I20120302000650 |
| Provider Name | Scott M Galenski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376956292 PECOS PAC ID: 5496974693 Enrollment ID: I20140922000751 |
| Provider Name | Rodney C Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760638910 PECOS PAC ID: 1355659418 Enrollment ID: I20151009001091 |
| Provider Name | Ashley Reichlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053784546 PECOS PAC ID: 3476987520 Enrollment ID: I20191223001670 |
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