Organization Active NPI

Karen Lee DPM PA

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1013198357
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PO2702 Issued in FL
Legal business name
KAREN LEE DPM PA
Practice address
10041 Pines Blvd
Suite E
Pembroke Pines, FL 33024-6170
Phone
(954) 437-0200
Fax
(954) 436-2159
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Karen J Lee, DPMNPI 1730137969
Title
Doctor of Podiatry Medicine
Phone
(954) 437-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PO2702 FL Primary

Addresses

Primary practice location

10041 Pines Blvd
Suite E
Pembroke Pines, FL 33024-6170

Mailing address

10041 Pines Blvd
Suite E
Pembroke Pines, FL 33024-6170
Phone (954) 437-0200

Other identifiers 2

IdentifierTypeStateIssuer
65563XOtherFLMEDICARE PROVIDER NUMBER
390451200MedicaidFL

Other names 1

  • PODIATRIC ASSOCIATES FOOT & ANKLE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041116000637 FL Part B Supplier - Clinic/Group Practice 9436113867 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL
O20100930081946 FL DME Supplier - Physician - Podiatry 9436113867 Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

10041 Pines Blvd
Ste E
Pembroke Pines, FL 33024
Phone (954) 437-0200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1013198357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD",
            "address_2": "SUITE E",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "954-437-0200",
            "fax_number": "954-436-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD",
            "address_2": "SUITE E",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "954-437-0200",
            "fax_number": "954-436-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN LEE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRY MEDICINE",
        "authorized_official_telephone_number": "954-437-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PO2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "65563X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390451200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PODIATRIC ASSOCIATES FOOT & ANKLE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.