Organization Active NPI

Compass Supportive Palliative Care LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Warren, IN
National Provider Identifier
1588922207
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.