1144213877 NPI number — DR. BEE MIN LIM MD

Table of content: DR. BEE MIN LIM MD (NPI 1144213877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144213877 NPI number — DR. BEE MIN LIM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIM
Provider First Name:
BEE
Provider Middle Name:
MIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144213877
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 COLONIAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YOUNGSTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44505-2137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-759-8545
Provider Business Mailing Address Fax Number:
330-759-8543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 COLONIAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YOUNGSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44505-2137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-759-8545
Provider Business Practice Location Address Fax Number:
330-759-8543
Provider Enumeration Date:
08/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208C00000X , with the licence number:  35-04-4135-L , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208C00000X , with the licence number: MD026915E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208C00000X , with the licence number: 01029305A , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3233483 . This is a "SUPERBLUE HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000129553 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040000 . This is a "KEYSTONE HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 83407 . This is a "QUALCHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0514689 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8888601001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0965835 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1400019 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: CO100187 . This is a "HIGHMARK PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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