Active NPI
Jesse C. Delee, MD, PA
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1003054909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- JESSE C. DELEE, MD, PA
- Practice address
- 5307 Broadway St
Ste 120
San Antonio, TX 78209-5743 - Phone
- (210) 579-3654
- Fax
- (210) 579-3778
- NPI assigned
- Jan 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse C Delee, M.D.
- Title
- Owner
- Phone
- (210) 579-3654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
5307 Broadway St
Ste 120
San Antonio, TX 78209-5743
Mailing address
PO Box 9191
Belfast, ME 04915-9191
Phone (210) 351-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206311701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5307 Broadway
Ste 120
San Antonio, TX 78209
Phone (210) 351-6500
Interoperability endpoints
- https://api.platform.athenahealth.com/2274/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1003054909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9191",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159191",
"telephone_number": "210-351-6500",
"fax_number": "210-351-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 BROADWAY ST",
"address_2": "STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095743",
"telephone_number": "210-579-3654",
"fax_number": "210-579-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSE C. DELEE, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-30",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "DELEE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-579-3654",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206311701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.