Provider Demographics
NPI:1366444143
Name:LEM, VINCENT M (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:M
Last Name:LEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST.
Mailing Address - Street 2:MAILSTOP 400N
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-9712
Mailing Address - Country:US
Mailing Address - Phone:816-502-8752
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4321 WASHINGTON ST
Practice Address - Street 2:SUITE 6000
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5961
Practice Address - Country:US
Practice Address - Phone:816-756-2255
Practice Address - Fax:816-931-4080
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3B67207RC0200X, 207RP1001X
KS0420742207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C50736Medicare UPIN
0216584CMedicare PIN
0216584AMedicare PIN
KSW19A00038Medicare PIN
104189Medicare PIN
MOW19000071Medicare PIN
0216584Medicare PIN
KSW19A00038Medicare PIN
104189Medicare PIN
MO10781016OtherBCBS KC
MO201518511Medicaid
A002OtherCHAMPUS
MOW19000071Medicare PIN
0216584Medicare PIN