GIRUM L LEMMA


Address: 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709
Phone: 6517357414

GIRUM L LEMMA (NPI# 1093760290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093760290
Entity Type Individual
Full Name GIRUM L LEMMA
Credential MD
Practice Address 6025 Lake Rd Ste 110
Woodbury
MN 55125-1709
Mailing Address 2550 University Ave W Ste 110n
Saint Paul
MN 55114-2001
Practice Telephone 6517357414
Practice Fax Number 6517351827
Mailing Telephone 6516025311
Mailing Fax Number 6512226786
Enumeration Date 2006-05-24
Last Update Date 2018-02-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
52821 MN Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 01062226A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PROVIDER NUMBER 000000485519 01
IN 200827030 05
IN PHCS PID NUMBER 9450969 01

Office Location

Street Address 6025 LAKE RD STE 110
City WOODBURY
State MN
Zip Code 55125-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013159029 Jessica Ann Thomes Pepin Obstetrics & Gynecology 6025 Lake Rd Ste 110, Woodbury, MN 55125 2009-04-06

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NPI Name Taxonomy Address Enumeration
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1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
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1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396981668 Michael W Rosen Internal Medicine 32 Mackay Farm Rd, Woodbury, CT 06798-2509 2008-12-17
1366691636 Laxmidas Anant Sawkar Internal Medicine 11376 Sandcastle Dr, Woodbury, MN 55129-8562 2008-09-11
1336120211 Bruce Ira Kappel Internal Medicine 40 Crossways Park Dr, Ste 103, Woodbury, NY 11797-2036 2005-11-08
1508857772 Nancy Nan Szu Sun Internal Medicine 40 Crossways Park Drive, Woodbury, NY 11797-2036 2005-11-04
1255338216 Oncology and Hematology Associates Internal Medicine 17 W Red Bank Ave, Suite 101, Woodbury, NJ 08096-1630 2005-07-06
1114430089 Minnesota Oncology Hematology, Pa Internal Medicine 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 2017-11-14
1497062400 Margarita Yarovikova Internal Medicine 40 Crossways Park Dr, Suite 103, Woodbury, NY 11797-2036 2010-09-13
1710179981 The Center for Cancer & Hematologic Disease Internal Medicine 608 N Broad St, Suite 300, Woodbury, NJ 08096-1794 2007-08-13
1174715247 Josy Mathew Internal Medicine 1875 Woodwinds Dr, Woodbury, MN 55125-2298 2007-08-13
1275619694 Lori Ann Attivissimo Internal Medicine 99 Sunnyside Blvd, Woodbury, NY 11797-2901 2006-10-27
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Competitor

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City WOODBURY
Zip Code 55125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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