Organization Active NPI

Sang H. Lee, D.O., P.C.

Doing business as TLC Walk-In Clinic

  • Emergency Medicine Physician
  • Bethany, OK
National Provider Identifier
1215369384
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SANG H. LEE, D.O., P.C.
Doing business as
TLC Walk-In Clinic
Practice address
7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961
Phone
(405) 241-7745
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Sang Lee, D.O.
Title
President
Phone
(405) 202-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961

Mailing address

7900 NW 23Rd St
Suite 1
Bethany, OK 73008-4961

Other identifiers 1

IdentifierTypeStateIssuer
100113780EMedicaidOK

Other names 1

  • TLC Walk-In Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7900 NW 23rd St
Ste 1
Bethany, OK 73008
Phone (405) 241-7745

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7416/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1215369384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 23RD ST",
            "address_2": "SUITE 1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 23RD ST",
            "address_2": "SUITE 1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084961",
            "telephone_number": "405-241-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG H. LEE, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-202-9355",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113780E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.