Active NPI
Stephen John Lee, MD
- Emergency Medicine Physician
- Fargo, ND
National Provider Identifier
1013940907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G77712
- Practice address
- 2101 Elm Street N
Fargo, ND 58102 - Phone
- (701) 239-3700
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G77712 | CA | |
| Emergency Medicine Physician | 207P00000X | G77712 | CA | Primary |
Addresses
Primary practice location
2101 Elm Street N
Fargo, ND 58102
Mailing address
2101 Elm Street N
Fargo, ND 58102
Phone (701) 239-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lander Valley Physician Practices, LLC | Internal Medicine | Current | Accepting new patients |
| Gaurav Datta MD Inc | Internal Medicine | Past | Accepting new patients |
| California Em-I Medical Services | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| California Em-I Medical Services, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Lander, WY
- NPI 1215971510
Internal Medicine
-
- Emergency Medicine Physician
- Lodi, CA
- NPI 1700835816
-
- Emergency Medicine Physician
- Los Alamitos, CA
- NPI 1477502615
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Internal Medicine Physician
- Elk Grove, CA
- NPI 1033735931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1013940907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 ELM STREET N",
"city": "FARGO",
"state": "ND",
"postal_code": "58102",
"telephone_number": "701-239-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ELM STREET N",
"city": "FARGO",
"state": "ND",
"postal_code": "58102",
"telephone_number": "701-239-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEPHEN",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G77712",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G77712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.