Max M Lee, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00017854 Issued in WA

Practice address

19711 1St Ave S
Normandy Park, WA 98148-2401

Phone

(206) 824-2183

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Max M. Lee, M.D.

  • Specialist
  • Normandy Park, WA
  • NPI 1376564393
  NPD (past) Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1003808627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19711 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-824-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19711 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-824-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MAX",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00017854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1592708",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "760111256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony W Kiriluk, MD
• Andrea Noel Knapp, PT
• Amanda Justine Knutson, LMP
• Lauren Frederick LLC
• Adine J Lee, MA CFT
• Leshaw Chiropractic PLLC
• Merry Long, MS, LMFT
• Anna M Loudenback, LMP
• Clare Chengqin Ma, DMD
• Sheila Rae Maher, P.A.-C.

• Internal Medicine Physician in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.