NPIMap

Organization Active NPI

Great Lakes Cancer MGMT Specialists

Doing business as Daniel J Lehman MD

  • Non-Pharmacy Dispensing Site
  • Grosse Pointe Woods, MI
National Provider Identifier
1982702973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
4301406109 Issued in MI
Legal business name
GREAT LAKES CANCER MGMT SPECIALISTS
Doing business as
Daniel J Lehman MD
Practice address
19229 Mack Ave Ste 24
Grosse Pointe Woods, MI 48236-2857
Phone
(313) 884-5522
Fax
(313) 884-5737
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxanne Clark, MPA,FAAMA
Title
Chief Fin.Officer
Phone
(313) 884-5524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 4301406109 MI Primary

Addresses

Primary practice location

19229 Mack Ave Ste 24
Grosse Pointe Woods, MI 48236-2857

Mailing address

19229 Mack Ave Ste 24
Grosse Pointe Woods, MI 48236-2857

Other identifiers 2

IdentifierTypeStateIssuer
2367161OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2752283MedicaidMI

Other names 1

  • DANIEL J LEHMAN MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel J Lehman MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982702973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE STE 24",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE STE 24",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362857",
            "telephone_number": "313-884-5522",
            "fax_number": "313-884-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CANCER MGMT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CHIEF FIN.OFFICER",
        "authorized_official_telephone_number": "313-884-5524",
        "authorized_official_credential": "MPA,FAAMA"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "4301406109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIEL J LEHMAN MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.