Organization Active NPI

H.S. Lee M.D. PA

  • Specialist
  • Haleyville, AL
National Provider Identifier
1164599445
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AL7617 Issued in AL
Legal business name
H.S. LEE M.D. PA
Practice address
42030 Highway 195
Suite B
Haleyville, AL 35565-0599
Phone
(205) 485-7284
Fax
(205) 485-7392
NPI assigned
Nov 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
H S Lee, M.D.
Title
Physician-President of Corporation
Phone
(205) 485-7284

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000585 AL Part B Supplier - Clinic/Group Practice 8325091119 Receives reassigned benefits from 1 practitioner
Practice locations: Haleyville, AL

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AL7617 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

42030 Highway 195
Suite B
Haleyville, AL 35565-0599

Mailing address

P O BX 599
Haleyville, AL 35565-0599
Phone (205) 485-7284

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
51003590OtherALBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2007.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1164599445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BX 599",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355650599",
            "telephone_number": "205-485-7284",
            "fax_number": "205-485-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195",
            "address_2": "SUITE B",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355650599",
            "telephone_number": "205-485-7284",
            "fax_number": "205-485-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.S. LEE M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "205-485-7284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL7617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51003590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.