NPIMap

Individual provider Active NPI

Faye Maryann Lee, MD

  • Emergency Medicine Physician
  • Gallup, NM
National Provider Identifier
1063628618
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
242956 Issued in NY
Practice address
Gimc Department of Emergency Medicine
516 Nizhoni Blvd
Gallup, NM 87301
Phone
(714) 785-5263
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 242956 NY Primary

Addresses

Primary practice location

Gimc Department of Emergency Medicine
516 Nizhoni Blvd
Gallup, NM 87301

Mailing address

164-B Huntington St. Apt a
Brooklyn, NY 11231
Phone (714) 785-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, LA, AZ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080111000315 TX Practitioner - Emergency Medicine 0042391484 Reassigns benefits to 5 organizations
I20100126000624 CA Practitioner - Emergency Medicine 0042391484
I20190326000957 LA Practitioner - Emergency Medicine 0042391484 Reassigns benefits to 2 organizations
I20230911000295 AZ Practitioner - Emergency Medicine 0042391484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Sound Physicians Emergency Medicine of Arizona IncGroup PAC ID 5799066650, 41 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242956NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 16, 2018 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 9, 2015 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 4, 2023 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 14, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince May 26, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Flee MD, a Medical Corporation Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine PastSince Aug 7, 2022 Accepting new patients
Golden Heart Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1063628618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-B HUNTINGTON ST. APT A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11231",
            "telephone_number": "714-785-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GIMC DEPARTMENT OF EMERGENCY MEDICINE",
            "address_2": "516 NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "714-785-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FAYE",
        "middle_name": "MARYANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "242956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.