Individual provider Active NPI

Sang H. Lee, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bethany, OK
National Provider Identifier
1003802182
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3864 Issued in OK
Practice address
7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961
Phone
(405) 241-7745
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3864 OK Primary
Emergency Medicine Physician 207P00000X 3864 OK

Addresses

Primary practice location

7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961

Mailing address

7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961
Phone (405) 241-7745

Other identifiers 1

IdentifierTypeStateIssuer
100113780EMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040713000023 OK Practitioner - Emergency Medicine 3375521644 Reassigns benefits to 6 organizations
I20220801001566 TX Practitioner - Emergency Medicine 3375521644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physician Staffing 2 PLLCGroup PAC ID 3375886476, 13 clinicians
Exceptional Physicians Group Ardmore Hospital PLLCGroup PAC ID 8921542622, 22 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (405) 843-5855

1641 Woerz Way
Ardmore, OK 73401-5071
Phone (436) 341-7800

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Exceptional Community Hospital Ardmore Hospital, Ardmore, OK, CCN 370247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3864OKMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Ardmore Hospital PLLC Emergency Medicine CurrentSince Oct 23, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Emergency Physicians of Midwest City, LLC Emergency Medicine CurrentSince Nov 19, 2013 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Mar 13, 2011 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1641 Woerz Way
Ardmore, OK 73401
Phone (436) 341-7800

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • Direct secure messaging: lees834@yourcarecommunity.org
  • Direct secure messaging: slee21627@muscogeecreeknation.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1003802182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 23RD ST",
            "address_2": "SUITE 1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084961",
            "telephone_number": "405-241-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 23RD ST",
            "address_2": "SUITE 1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084961",
            "telephone_number": "405-241-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "H.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3864",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3864",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113780E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.