NPIMap

Individual provider Active NPI

William O. Lee, M.D.

  • Family Medicine Physician
  • Friendswood, TX
National Provider Identifier
1174500144
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9314 Issued in TX
Practice address
4 Oaktree St
Friendswood, TX 77546-4073
Phone
(281) 482-5551
Fax
(281) 482-0995
NPI assigned
Dec 29, 2005
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9314 TX Primary

Addresses

Primary practice location

4 Oaktree St
Friendswood, TX 77546-4073

Mailing address

4 Oaktree St
Friendswood, TX 77546-4073
Phone (281) 482-5551

Other identifiers 1

IdentifierTypeStateIssuer
8BE110OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000757 TX Practitioner - Family Practice 0941256325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13630 Beamer Rd
Suite 123
Houston, TX 77089-6038
Phone (281) 482-5551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9314TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Family Practice Associates PA Family Medicine CurrentSince Jun 2, 2008 Accepting new patients
Emprise Network LLC PastSince Dec 5, 2016 Accepting new patients
Aic Primary Care, PLLC PastSince Jan 18, 2014 Accepting new patients
Aic Urgent Care, PLLC Family Medicine Past Accepting new patients

Locations

4 Oaktree St
Friendswood, TX 77546
Phone (281) 482-5551

4 Oaktree St
Ste 2
Friendswood, TX 77546
Phone (281) 482-5551

13630 Beamer Rd
Ste 123
Houston, TX 77089
Phone (281) 482-5551

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1174500144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OAKTREE ST",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464073",
            "telephone_number": "281-482-5551",
            "fax_number": "281-482-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OAKTREE ST",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464073",
            "telephone_number": "281-482-5551",
            "fax_number": "281-482-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BE110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.