Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independent Physical Medicine LLC

Organization General Practice Physician · NPI 1063062354

Independent Physical Medicine LLC is a General Practice Physician 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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