Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor J Peterson, PA-C

Individual provider Physician Assistant · NPI 1962024265

Taylor J Peterson, PA-C is a Physician Assistant in Lima, Ohio. Qualified in 2020, 6 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1005 Bellefontaine Ave Ste 225
Lima, OH 45804-2896
Phone: (419) 998-8276
Fax: (419) 998-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 602 W Redskin Trl, Wapakoneta, OH 45895-9349 — (419) 998-8276

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006906RX (OH)

Record details

NPI number1962024265
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

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 Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lima