NPIMap

Organization Active NPI

Walter J Lee MD PC

  • Internal Medicine Physician
  • Brighton, MA
National Provider Identifier
1043409782
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50245 Issued in MA
Legal business name
WALTER J LEE MD PC
Practice address
280 Washington St
Suite 201
Brighton, MA 02135-3511
Phone
(617) 254-7473
Fax
(617) 254-3141
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Walter J Lee, MD
Title
Owner
Phone
(617) 254-7473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 50245 MA Primary

Addresses

Primary practice location

280 Washington St
Suite 201
Brighton, MA 02135-3511

Mailing address

280 Washington St
Suite 201
Brighton, MA 02135-3511
Phone (617) 254-7473

Other identifiers 4

IdentifierTypeStateIssuer
M16298OtherMABLUE CROSS GROUP
M20016OtherMAMEDICARE GROUP
604026OtherMATUFT GROUP
9775994MedicaidMA

National Provider Directory

National Provider Directory

Locations

280 Washington St
Ste 201
Brighton, MA 02135
Phone (617) 254-7473

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9330/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1043409782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-254-7473",
            "fax_number": "617-254-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-254-7473",
            "fax_number": "617-254-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-254-7473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "M16298",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "M20016",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFT GROUP",
            "identifier": "604026",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9775994",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.