MEDICARE: MERCY HEALTH PHYSICIANS LIMA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208600000X	Surgery Physician
2	208800000X	Urology Physician
3	207R00000X	Internal Medicine Physician
4	2084P0800X	Psychiatry Physician
5	207Y00000X	Otolaryngology Physician
6	104100000X	Social Worker
7	208000000X	Pediatrics Physician
8	363LA2100X	Acute Care Nurse Practitioner
9	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
10	207RH0003X	Hematology & Oncology Physician
11	364S00000X	Clinical Nurse Specialist
12	207RP1001X	Pulmonary Disease Physician
13	208100000X	Physical Medicine & Rehabilitation Physician
14	207RI0011X	Interventional Cardiology Physician
15	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225292865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH PHYSICIANS LIMA, LLC

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:	513-981-5123
Fax Number	:	513-981-5015

Provider Business Practice Location Address
First Line	:	830 W HIGH ST STE 206
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-3996
Country	:	US
Telephone Number	:	419-227-7399
Fax Number	:	419-229-0123

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, PAYER DELEGATION &
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	03/10/2026

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