Organization Active NPI

Mark Edward Lemmons MD PC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1053508416
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK EDWARD LEMMONS MD PC
Practice address
7015 Kentucky Ave
109
Indianapolis, IN 46113
Phone
(317) 856-4800
Fax
(317) 856-6215
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mark Edward Lemmons, MD
Title
President
Phone
(317) 366-7682

Specialties & licenses 1

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

Addresses

Primary practice location

7015 Kentucky Ave
109
Indianapolis, IN 46113

Mailing address

13380 N White Cloud CT
Camby, IN 46113-8709
Phone (317) 366-7682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1053508416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 N WHITE CLOUD CT",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "461138709",
            "telephone_number": "317-366-7682",
            "fax_number": "317-856-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 KENTUCKY AVE",
            "address_2": "109",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46113",
            "telephone_number": "317-856-4800",
            "fax_number": "317-856-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK EDWARD LEMMONS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LEMMONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-366-7682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.