David C Lee, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01039322A Issued in IN

Practice address

1314 E 7TH St
Suite 203
Auburn, IN 46706-2535

Phone

(260) 927-8105

Fax

(260) 927-8026

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Chang Lee Former name

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.

• Blue Island Clinic Company LLC

  • Internal Medicine Physician
  • Blue Island, IL
  • NPI 1609148139
  NPD (past)
• Christopher T. Kardasis M.D., S.C.

  • Ophthalmology Physician
  • Hazel Crest, IL
  • NPI 1104948967

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1083641849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467060623",
            "telephone_number": "260-927-8105",
            "fax_number": "260-927-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E 7TH ST",
            "address_2": "SUITE 203",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062535",
            "telephone_number": "260-927-8105",
            "fax_number": "260-927-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36-048308",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01039322A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "216-07247",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048308",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANG",
            "last_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Erica L Kueber, N.P.
• Natalie Kvas, DPT
• Larson F Langschwager, M.D.
• Joshua Ryan Leichty, DO
• Sarah Lenhart-Webster
• Elizabeth Ann Lepper, APN
• Jeremy David Lewis, MSED, LMFT
• Sean Lewis, MD

• Otolaryngology Physician in Auburn, IN
• Providers in Auburn, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.