Mimi Lee M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MC 2255 Issued in AR

Legal business name

MIMI LEE M.D., P.A.

Practice address

8315 Cantrell Rd
Plaza 80
Little Rock, AR 72227-2423

Phone

(501) 224-0880

Fax

(501) 224-1395

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Moyuen Mimi Lee, M.D.

Title

President

Phone

(501) 224-0880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mimi Shishou Lee, M.D.

  • Neurology Physician
  • Ventura, CA
  • NPI 1164684973
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1104959071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 CANTRELL RD",
            "address_2": "PLAZA 80",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272423",
            "telephone_number": "501-224-0880",
            "fax_number": "501-224-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 CANTRELL RD",
            "address_2": "PLAZA 80",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272423",
            "telephone_number": "501-224-0880",
            "fax_number": "501-224-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI LEE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MOYUEN",
        "authorized_official_middle_name": "MIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-224-0880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "MC 2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Mills, MHPP
• Natasa Milojkovic, MD
• Alicia Renae Milton, LPC
• Aujania Latia Milton
• Simone Denae Milton, APRN
• Mind Unwind
• Mindshift Integrated Services LLC
• Mindy Moore Psychotherapy PLLC
• Phillip J Mingola II, MD
• Alyson Rae Minor

• Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.