Active NPI
Daniel L Lembcke, M.D.
- Family Medicine Physician
- Fergus Falls, MN
National Provider Identifier
1215044334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28538
- Practice address
- 712 South Cascade Street
Fergus Falls, MN 56537-2813 - Phone
- (218) 736-8000
- Fax
- (218) 736-8757
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28538 | MN | Primary |
Addresses
Primary practice location
712 South Cascade Street
Fergus Falls, MN 56537-2813
Mailing address
712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone (218) 736-8000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-00795 | Other | MN | MEDICA FFMG NUMBER |
| 01-09270 | Other | MN | MEDICA BLC NUMBER |
| 0582585 | Medicaid | IA | |
| 13383 | Medicaid | ND | |
| 736577200 | Medicaid | MN | |
| 41091744413 | Medicaid | NE | |
| 09454LE | Other | MN | BCBS NUMBER |
| 110684 | Other | MN | U-CARE NUMBER |
| 1008791 | Other | MN | PREFERRED ONE NUMBER |
| HP26729 | Other | MN | HEALTHPARTNERS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28538 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fergus Falls Medical Group, P.a. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Fergus Falls, MN
- NPI 1285676031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1215044334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-736-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-736-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBCKE",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "28538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA FFMG NUMBER",
"identifier": "01-00795",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA BLC NUMBER",
"identifier": "01-09270",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0582585",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13383",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "736577200",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41091744413",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "09454LE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE NUMBER",
"identifier": "110684",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE NUMBER",
"identifier": "1008791",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS NUMBER",
"identifier": "HP26729",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.