MEMORIAL PROFESSIONAL SERVICES LTD NPI 1205139623

NPI Information

NPI: 1205139623
Provider Name: MEMORIAL PROFESSIONAL SERVICES LTD
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
715 S TAFT AVE
FREMONT, OH
ZIP 43420
Phone: (419) 332-7321
Get Directions

MEMORIAL PROFESSIONAL SERVICES LTD is a pulmonary disease internal medicine in Fremont, OH. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MEMORIAL PROFESSIONAL SERVICES LTD NPI is 1205139623. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 S TAFT AVE
FREMONT, OH
ZIP 43420-200
Phone: (419) 332-7321

The provider's authorized official is Robert W Littelmann .
The authorized official title is Executive Director and has the following contact phone number (419) 334-6661.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	2080P0208X	Pediatrics	Pediatric Infectious Diseases	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9392801	MEDICARE PIN	OHIO
2	3109791	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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