John A Lemke, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009309 Issued in MI

Practice address

11315 Edgewater Dr
Allendale, MI 49401-9396

Phone

(616) 895-2000

Fax

(616) 895-2009

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1205884343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978771",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joreine Patrick Landoy, FNP-BC
• Samantha Jane Lane
• Shaina Marie Lane, M.ED., ATC
• Beth Ledy
• Warren N Leemgraven, BS, CAC I
• Nicholas Vijay Lillie, O.D.
• Alyvia Long
• Lydia Lorenz
• Austin Loshinskie, OD
• Ryan Michael Loupee, DC

• Family Medicine Physician in Allendale, MI
• Providers in Allendale, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.