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

Connor Mortimer

Individual provider Physician Assistant · NPI 1164084802

Connor Mortimer is a Physician Assistant in Lima, Ohio. Qualified in 2020, 6 years ago. Practices with Mercy Health Physicians Lima Specialty Care LLC, a 255-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2019
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Practice location Address checks out

730 W Market St Ste 2K
Lima, OH 45801-4602
Phone: (419) 996-5852
Fax: (419) 996-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006693RX (OH)

Record details

NPI number1164084802
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address2636 N Moreland Blvd Apt 21, Cleveland, OH 44120-1466

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Health Physicians Lima Specialty Care Llc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lima