Active NPI
Gregory Alan Lehman, RTR
- Radiologic Technologist
- Hayward, WI
National Provider Identifier
1336405893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 3913-142
- Practice address
- 11040 N State Road 77
Hayward, WI 54843-6391 - Phone
- (715) 934-4236
- NPI assigned
- Apr 9, 2012
- Last updated
- Apr 9, 2012
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 3913-142 | WI | Primary |
Addresses
Primary practice location
11040 N State Road 77
Hayward, WI 54843-6391
Mailing address
11040 N State Road 77
Hayward, WI 54843-6391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3913-142 | Other | WI | ARRT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3913-142 | WI | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1336405893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 N STATE ROAD 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11040 N STATE ROAD 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436391",
"telephone_number": "715-934-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHMAN",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "RTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WI",
"license": "3913-142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARRT",
"identifier": "3913-142",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.