Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Independent Physical Medicine LLC

Organization General Practice Physician · NPI 1063062354

Independent Physical Medicine LLC provides General Practice Physician services in Lima, Ohio. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3469 W Elm St
Lima, OH 45807-2226
Phone: (567) 940-9334
Fax: (877) 813-6315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1063062354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sommer Gorman — Secretary · (567) 356-7407
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 18, 2019
Mailing address3469 W Elm St, Lima, OH 45807-2226

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