NPIMap

Organization Active NPI

Southern Illinois Medical Specialists, LLC

  • Internal Medicine Physician
  • Sesser, IL
National Provider Identifier
1134530173
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036125672 Issued in IL
Legal business name
SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC
Practice address
107 W Franklin St
Sesser, IL 62884-1456
Phone
(618) 625-2105
Fax
(618) 625-2108
NPI assigned
May 13, 2014
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Lee Peter Bee, D.O., F.A.C.O.I.
Title
Ceo/Owner
Phone
(618) 625-2105

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X 036125672 IL
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 036125672 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036125672 IL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 036125672 IL
Primary Care Clinic/Center 261QP2300X 036125672 IL
Clinical Medical Laboratory 291U00000X 14D2034829 IL

Addresses

Primary practice location

107 W Franklin St
Sesser, IL 62884-1456

Mailing address

107 W Franklin St
Sesser, IL 62884-1456
Phone (618) 625-2105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1134530173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W FRANKLIN ST",
            "city": "SESSER",
            "state": "IL",
            "postal_code": "628841456",
            "telephone_number": "618-625-2105",
            "fax_number": "618-625-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W FRANKLIN ST",
            "city": "SESSER",
            "state": "IL",
            "postal_code": "628841456",
            "telephone_number": "618-625-2105",
            "fax_number": "618-625-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "BEE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-625-2105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., F.A.C.O.I."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "IL",
            "license": "036125672",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036125672",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036125672",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036125672",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036125672",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2034829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sesser, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.