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MS. FAYE MICHELLE IMM PA NPI 1619974730


NPI Information

NPI: 1619974730
Provider Name: MS. FAYE MICHELLE IMM, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
801 MEDICAL DR
SUITE A
LIMA, OH
ZIP 45804
Phone: (419) 222-6622
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MS. Faye Michelle Imm, PA is a surgical physician assistant in Lima, OH with 20 years of experience. MS. Faye Michelle Imm, PA NPI is 1619974730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 MEDICAL DR
SUITE A
LIMA, OH
ZIP 45804-099
Phone: (419) 222-6622
Fax: (419) 224-0015

The NPI 1619974730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 1/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical50.002222OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000521052OTHERANTHEM

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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