Ian Edward Lehman, PA-C
Physician Assistant in Grandville, MI. Individual provider (NPI-1).
NPI number1003213034
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1003213034
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ian Edward Lehman
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2014
- Certification date
- Sep 26, 2022
- Last updated
- Sep 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007589 | MI | Yes |
Practice location
6105 Wilson Ave Sw Ste 204Grandville, MI 49418-9714
Phone 616-486-5421
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone 616-486-6790
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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