Active NPI
Compass Supportive Palliative Care LLC
- Pain Medicine (Psychiatry & Neurology) Physician
- Warren, IN
National Provider Identifier
1588922207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- Legal business name
- COMPASS SUPPORTIVE PALLIATIVE CARE LLC
- Practice address
- 801 Huntington Ave
Warren, IN 46792-9402 - Phone
- (260) 375-4375
- Fax
- (260) 375-4377
- NPI assigned
- May 1, 2012
- Last updated
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger D Lemmen, M.D.
- Title
- Member
- Phone
- (260) 375-4375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | Primary |
Addresses
Primary practice location
801 Huntington Ave
Warren, IN 46792-9402
Mailing address
801 Huntington Ave
Warren, IN 46792-9402
Phone (260) 375-4375
Other names 1
- Compass SPC
National Provider Directory
National Provider DirectoryLocations
360 N Main St
Ste E
Bluffton, IN 46714
Phone (260) 227-0054
801 Huntington Ave
#71
Warren, IN 46792
Phone (260) 375-4375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335830400000",
"number": "1588922207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 HUNTINGTON AVE",
"city": "WARREN",
"state": "IN",
"postal_code": "467929402",
"telephone_number": "260-375-4375",
"fax_number": "260-375-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 HUNTINGTON AVE",
"city": "WARREN",
"state": "IN",
"postal_code": "467929402",
"telephone_number": "260-375-4375",
"fax_number": "260-375-4377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS SUPPORTIVE PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A",
"authorized_official_last_name": "LEMMEN",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "260-375-4375",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compass SPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Warren, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.