Song Dow Lee, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

04-15981 Issued in KS

Practice address

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679

Phone

(785) 235-3451

NPI assigned

Aug 16, 2005

Last updated

Sep 12, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1104818251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SW FAIRLAWN RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062232",
            "telephone_number": "785-273-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061679",
            "telephone_number": "785-235-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SONG",
        "middle_name": "DOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-15981",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-15981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100082550A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA  RR MEDICARE",
            "identifier": "050022969",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary S Lee, CADC
• Isabella Lee
• Janet Lee, MD
• Jessica Lee, SLP
• Nancy A. Lee, APRN
• Stacy D Lee, LMSW, CADCII
• Tori Lee
• Wendy Leenerts
• Michael C Leeson, M.D., PH.D.
• Claire J Leffingwell

• Anesthesiology Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Anesthesiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.