Active NPI
Roger D. Lemmen, M.D.
- Pain Medicine (Psychiatry & Neurology) Physician
- Bluffton, IN
National Provider Identifier
1497825004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- 01064091A
- Practice address
- 360 N Main St
Suite E
Bluffton, IN 46714-2041 - Phone
- (260) 353-3375
- Fax
- (260) 353-3377
- NPI assigned
- Nov 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 4301046711 | MI | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 01064091A | IN | Primary |
Addresses
Primary practice location
360 N Main St
Suite E
Bluffton, IN 46714-2041
Mailing address
360 N Main St
Suite E
Bluffton, IN 46714-2041
Phone (260) 353-3375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3374917 | Medicaid | MI | |
| 200917750 | Medicaid | IN |
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 |
|---|---|---|---|
| 01064091A | IN | MD | Pain Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Family Hospice of Northeast Indiana Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Berne, IN
- NPI 1851470157
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1497825004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N MAIN ST",
"address_2": "SUITE E",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467142041",
"telephone_number": "260-353-3375",
"fax_number": "260-353-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N MAIN ST",
"address_2": "SUITE E",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467142041",
"telephone_number": "260-353-3375",
"fax_number": "260-353-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMEN",
"first_name": "ROGER",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "MI",
"license": "4301046711",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "IN",
"license": "01064091A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3374917",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200917750",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.