Jeremy S Lee, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

27648 Issued in AZ

Practice address

4002 E Main Street
Red Mountain Anesthesiology Suite 1
Mesa, AZ 85205

Phone

(480) 981-9151

Fax

(480) 324-5459

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Phoenix Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1023210036
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205927340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 E MAIN STREET",
            "address_2": "RED MOUNTAIN ANESTHESIOLOGY SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-981-9151",
            "fax_number": "480-324-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 E MAIN STREET",
            "address_2": "RED MOUNTAIN ANESTHESIOLOGY SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-981-9151",
            "fax_number": "480-324-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEREMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "27648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryn H Lee, DDS
• Caryn S Lee, CSA CFA
• Chin Chang Lee
• Christopher E. Lee, O.D.
• Haley Brianna Lee
• Jocelyn Pacleb Lee
• Kimberly Dawn Lee, APRN
• Mark Ellis Lee, DC
• Mikayla Kenzie Lee
• Mike C Lee, DDS

• Anesthesiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.