Active NPI
Lee Newcomer, M.D.
- Medical Oncology Physician
- Minnetonka, MN
National Provider Identifier
1093160368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 13798
- Practice address
- 15011 Woods Edge
Minnetonka, MN 55345-2900 - Phone
- (952) 393-9577
- NPI assigned
- Apr 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 13798 | NE | Primary |
Addresses
Primary practice location
15011 Woods Edge
Minnetonka, MN 55345-2900
Mailing address
15011 Woods Edge
Minnetonka, MN 55345-2900
Phone (952) 393-9577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13798 | NE | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1093160368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15011 WOODS EDGE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452900",
"telephone_number": "952-393-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15011 WOODS EDGE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452900",
"telephone_number": "952-393-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NE",
"license": "13798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.