Individual provider Active NPI

Lonnie Lee Lanferman, DO

  • Family Medicine Physician
  • Ottumwa, IA
National Provider Identifier
1114999810
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02890 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 682-7511
NPI assigned
Feb 6, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02890 IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

1805 Cardinal LN
Pella, IA 50219-8109
Phone (641) 780-7205

Other identifiers 2

IdentifierTypeStateIssuer
080185497OtherIARAILROAD MEDICARE
1160655MedicaidIA

Other names 1

  • Dr. Lonnie Lee Lanferman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000397 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1153414297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1114999810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CARDINAL LN",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502198109",
            "telephone_number": "641-780-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFERMAN",
        "first_name": "LONNIE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080185497",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160655",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LONNIE",
            "last_name": "LANFERMAN",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.