Connor Mortimer

Physician Assistant · Lima, OH

Individual Active NPI

NPI number 1164084802

Practice location

730 W Market St Ste 2k
Lima, OH 45801-4602
Phone
(419) 996-5852
Fax
(419) 996-5854

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NPI record

NPI
1164084802
Entity type
Individual (Type 1)
Enumeration date
July 2, 2019
Last updated
January 20, 2021
Certified
January 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 50.006693RX OH

Mailing address

2636 N Moreland Blvd Apt 21
Cleveland, OH 44120-1466
Phone
(419) 979-8592

About Connor Mortimer

Connor Mortimer is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 730 W Market St Ste 2k, Lima, OH 45801-4602. The NPI number 1164084802 was assigned on July 2, 2019 and the record was last updated on January 20, 2021.

Connor Mortimer lists a license in the registry: #50.006693RX (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connor Mortimer?

The NPI number is 1164084802.

What is the phone number of Connor Mortimer?

The phone number listed for the practice location is (419) 996-5852.

Where is Connor Mortimer located?

730 W Market St Ste 2k, Lima, OH 45801-4602.

What is the taxonomy code for Connor Mortimer?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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