Organization Active NPI

John R. Lemieux MD LTD

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1023345071
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3602 Issued in NV
Legal business name
JOHN R. LEMIEUX MD LTD
Practice address
6630 S. McCorran Blvd
Building B Suite 16
Reno, NV 89509-6145
Phone
(775) 323-5116
Fax
(775) 323-7140
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki A. Lemieux
Title
Business Manager
Phone
(775) 323-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3602 NV Primary

Addresses

Primary practice location

6630 S. McCorran Blvd
Building B Suite 16
Reno, NV 89509-6145

Mailing address

6630 S. McCorran Blvd.
Building B Suite 16
Reno, NV 89509-6145
Phone (775) 323-5116

Other identifiers 1

IdentifierTypeStateIssuer
002016151MedicaidNV

National Provider Directory

National Provider Directory

Locations

85 Kirman Ave
Ste 301
Reno, NV 89502
Phone (775) 323-5116

6630 S McCarran Blvd
Ste 16
Reno, NV 89509
Phone (775) 323-5116

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1023345071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S. MCCORRAN BLVD.",
            "address_2": "BUILDING B SUITE 16",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-323-5116",
            "fax_number": "775-323-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S. MCCORRAN BLVD",
            "address_2": "BUILDING B SUITE 16",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-323-5116",
            "fax_number": "775-323-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. LEMIEUX MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "LEMIEUX",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "775-323-5116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016151",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.