Organization Active NPI

Karenga R Lemmons, M.D., L.L.C.

  • Specialist
  • Laurel, MD
National Provider Identifier
1982878997
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0031711 Issued in MD
Legal business name
KARENGA R LEMMONS, M.D., L.L.C.
Practice address
9811 Mallard Dr
Ste 211
Laurel, MD 20708-3143
Phone
(301) 497-9490
Fax
(301) 497-9493
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Karenga R Lemmons, M.D.
Title
Owner
Phone
(301) 497-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0031711 MD Primary

Addresses

Primary practice location

9811 Mallard Dr
Ste 211
Laurel, MD 20708-3143

Mailing address

9811 Mallard Dr
Ste 211
Laurel, MD 20708-3143
Phone (301) 497-9490

Other identifiers 1

IdentifierTypeStateIssuer
444591100MedicaidMD

National Provider Directory

National Provider Directory

Locations

9811 Mallard Dr
Ste 211
Laurel, MD 20708
Phone (301) 497-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1982878997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "STE 211",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-497-9490",
            "fax_number": "301-497-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "STE 211",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-497-9490",
            "fax_number": "301-497-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARENGA R LEMMONS, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LEMMONS",
        "authorized_official_first_name": "KARENGA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-497-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0031711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444591100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.