Healthcare Provider Details

I. General information

NPI: 1528024544
Provider Name (Legal Business Name): JOSEPH MICHAEL ARCIDI JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 W MARKET ST STE 2K
LIMA OH
45801-4602
US

IV. Provider business mailing address

730 W MARKET ST STE 2K
LIMA OH
45801-4602
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-4011
  • Fax:
Mailing address:
  • Phone: 419-996-4011
  • Fax: 419-996-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number35.066026
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number4301097553
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number6281313
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberC50460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: