Organization Active NPI

Jesse C. Delee, MD, PA

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1003054909
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on May 5, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
206311701MedicaidTX

National Provider Directory

National Provider Directory

Locations

5307 Broadway
Ste 120
San Antonio, TX 78209
Phone (210) 351-6500

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.