Lee J Piatek, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

G28265 Issued in CA

Practice address

1500 Palm St Ste a
San Luis Obispo, CA 93401-2998

Phone

(805) 542-9678

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Thomas D. Ferro M.D. a Medical Corporation

  • Orthopaedic Surgery Physician
  • Arroyo Grande, CA
  • NPI 1295782373
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1043328016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 STUDIO DR",
            "city": "CAYUCOS",
            "state": "CA",
            "postal_code": "934301937",
            "telephone_number": "805-995-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PALM ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012998",
            "telephone_number": "805-542-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIATEK",
        "first_name": "LEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G28265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G282650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CH658Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Phillips, D.D.S.
• Kimberly Phillips, NP
• Luke Phillips, PT
• Tina Danielle Phipps
• John R Phirman, M.D.
• Russell Piazza
• Melody Jean Pickell, LAC, MSTOM
• Kathleen Mary Piedmonte
• Cassidy A Pierce, AMFT
• Casaundria Faithell Pierro, B.S.W.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.