Mark Lee Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

039515 Issued in GA

Legal business name

MARK LEE NEUROSURGERY, LLC

Practice address

1446 Harper St
Bt5730
Augusta, GA 30912-0012

Phone

(706) 721-2624

Fax

(706) 721-2652

NPI assigned

May 24, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Lee, M.D.NPI 1861413536

Title

Owner

Phone

(706) 721-2624

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Robert Lee, M.D.

  • Neurological Surgery Physician
  • Wheeling, WV
  • NPI 1861413536
  NPD (past) Authorized official
• Erika D. Doster, PA

  • Surgical Physician Assistant
  • Augusta, GA
  • NPI 1730299256
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1053522771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142828",
            "telephone_number": "706-868-0131",
            "fax_number": "706-854-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST",
            "address_2": "BT5730",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120012",
            "telephone_number": "706-721-2624",
            "fax_number": "706-721-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEE NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-721-2624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "039515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA945",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP8134",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Marin Gomez
• Lisa G Marin, DMD, MD
• Norma Giovanna Marin
• Claudia Kathryn Marino
• Tammi Marion
• Mark Lynn OD and Associates, PC (Visionworks)
• Janet T Markle, MD
• Dorian Marks
• Stuart D. Marks, M.D.
• Gena J Markwalter, NP

• Neurological Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.