Active NPI
Mark Thomas Lee
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Tucson, AZ
National Provider Identifier
1124761929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Practice address
- 7525 N Ethan Allan PL
Tucson, AZ 85741-2125 - Phone
- (520) 403-3851
- NPI assigned
- Apr 19, 2022
- 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 |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | Primary |
Addresses
Primary practice location
7525 N Ethan Allan PL
Tucson, AZ 85741-2125
Mailing address
7525 N Ethan Allan PL
Tucson, AZ 85741-2125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188492 | Other | AZ | CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mark5.Lee@carondelet.org | Direct |
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
Interoperability endpoints
- mark5.lee@carondelet.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1124761929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 N ETHAN ALLAN PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 N ETHAN ALLAN PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412125",
"telephone_number": "520-403-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARK",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "188492",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mark5.Lee@carondelet.org",
"affiliation": "N",
"endpointDescription": "Office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7525 N Ethan Allan Pl",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857412125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.