MEDICARE: MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208800000X	Urology Physician
2	363L00000X	Nurse Practitioner
3	207K00000X	Allergy & Immunology Physician
4	363A00000X	Physician Assistant
5	2084P0800X	Psychiatry Physician
6	207RC0000X	Cardiovascular Disease Physician
7	207X00000X	Orthopaedic Surgery Physician
8	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
9	207VG0400X	Gynecology Physician
10	208M00000X	Hospitalist Physician
11	207N00000X	Dermatology Physician
12	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
13	207RP1001X	Pulmonary Disease Physician
14	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1518589803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE 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	:	888-696-3541
Fax Number	:

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	:	888-696-3541
Fax Number	:

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

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	03/10/2026

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Directions to “MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC ” Practice Location

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