Active NPI
Robert S Lee, PA-C
- Medical Physician Assistant
- Lexington, KY
National Provider Identifier
1124116405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1732
- Practice address
- 700 Bob O Link Dr
Lexington, KY 40504-3756 - Phone
- (859) 258-8575
- Fax
- (859) 258-8562
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 Physician Assistant | 363AM0700X | PA1732 | KY | Primary |
Addresses
Primary practice location
700 Bob O Link Dr
Lexington, KY 40504-3756
Mailing address
700 Bob O Link Dr
Lexington, KY 40504-3756
Phone (859) 258-8575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100217190 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1732 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Colinas Orthopedic Surgery and Sports Medicine P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Irving, TX
- NPI 1952396996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1124116405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BOB O LINK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043756",
"telephone_number": "859-258-8575",
"fax_number": "859-258-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BOB O LINK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043756",
"telephone_number": "859-258-8575",
"fax_number": "859-258-8562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA1732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100217190",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.