Individual provider Active NPI

Jan Henrik Lemar, SOIDC

  • Medical Physician Assistant
  • Camp Lejeune, NC
National Provider Identifier
1215308390
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
A71 FL1 RM Bas
2ND Reconnaissance Battalion
Camp Lejeune, NC 28542-0138
Phone
(910) 440-7719
NPI assigned
Oct 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

A71 FL1 RM Bas
2ND Reconnaissance Battalion
Camp Lejeune, NC 28542-0138

Mailing address

PSC Box 20138
2ND Reconnaissance Battalion
Camp Lejeune, NC 28542-0138
Phone (910) 440-7719

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1215308390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 20138",
            "address_2": "2ND RECONNAISSANCE BATTALION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420138",
            "telephone_number": "910-440-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A71 FL1 RM BAS",
            "address_2": "2ND RECONNAISSANCE BATTALION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420138",
            "telephone_number": "910-440-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAR",
        "first_name": "JAN",
        "middle_name": "HENRIK",
        "name_prefix": "Mr.",
        "credential": "SOIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.