Organization Active NPI

Sung G Lee MD PC

  • Obstetrics & Gynecology Physician
  • Okemos, MI
National Provider Identifier
1215233283
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301037010 Issued in MI
Legal business name
SUNG G LEE MD PC
Practice address
4129 Okemos Rd
Okemos, MI 48864-2822
Phone
(517) 351-1766
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Mr. Michael W Boyle
Title
Billing Manager
Phone
(517) 351-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301037010 MI Primary

Addresses

Primary practice location

4129 Okemos Rd
Okemos, MI 48864-2822

Mailing address

4129 Okemos Rd
Okemos, MI 48864-2822
Phone (517) 351-1766

Other names 1

  • Okemos OB/GYN Doing business as

National Provider Directory

National Provider Directory

Locations

4129 Okemos Rd
Okemos, MI 48864
Phone (517) 349-7060

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1215233283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642822",
            "telephone_number": "517-351-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642822",
            "telephone_number": "517-351-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG G LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-351-1766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301037010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okemos OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.