Active NPI
Bernard Edgar Lemke, M.D., M.A.
- Internal Medicine Physician
- Ukiah, CA
National Provider Identifier
1831174697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G38871
- Practice address
- 242 Hospital Dr
Suite a
Ukiah, CA 95482-4556 - Phone
- (707) 468-8944
- Fax
- (707) 468-9685
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G38871 | CA | Primary |
Addresses
Primary practice location
242 Hospital Dr
Suite a
Ukiah, CA 95482-4556
Mailing address
242 Hospital Dr
Suite a
Ukiah, CA 95482-4556
Phone (707) 468-8944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G388710 | Medicaid | CA | |
| RHC160592 | Other | CA | RADIATION PERMIT |
| 05D1000823 | Other | CA | CLIA # |
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
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38871 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831174697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 HOSPITAL DR",
"address_2": "SUITE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824556",
"telephone_number": "707-468-8944",
"fax_number": "707-468-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 HOSPITAL DR",
"address_2": "SUITE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824556",
"telephone_number": "707-468-8944",
"fax_number": "707-468-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE",
"first_name": "BERNARD",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D., M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G38871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G388710",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RADIATION PERMIT",
"identifier": "RHC160592",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "05D1000823",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.