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

Kyle Anderson

Individual provider Surgical Physician Assistant · NPI 1467843193

Kyle Anderson is a Physician Assistant in Lima, Ohio. Qualified in 2014, 12 years ago. Practices with Joint Township District Memorial Hospital, a 39-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015

Practice location Address checks out

801 Medical Dr Ste A
Lima, OH 45804-4031
Phone: (419) 222-6622
Fax: (419) 224-0015
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50.004299 (OH)

Record details

NPI number1467843193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2015
Last updated in NPPESFebruary 17, 2015
Mailing address801 Medical Dr, Suite A, Lima, OH 45804-4031

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Joint Township District Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lima