Individual provider Active NPI

Michelle Judith Lees, M.D.

  • Family Medicine Physician
  • Mansfield, OH
National Provider Identifier
1235117334
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-085365 Issued in OH
Practice address
600 W 3Rd St
Mansfield, OH 44906-2633
Phone
(419) 522-6191
Fax
(419) 525-6723
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 35-085365 OH Primary

Addresses

Primary practice location

600 W 3Rd St
Mansfield, OH 44906-2633

Mailing address

600 W 3Rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191

Other practice location 1

1490 Oak Tree Dr
Brunswick, OH 44212-3500
Phone (330) 225-9856

Other practice location 2

1490 Oak Tree Dr
Brunswick, OH 44212-3500
Phone (330) 225-9856

Other practice location 3

3515 Massillon Rd Ste 250
Uniontown, OH 44685
Phone (330) 896-5651

Other identifiers 1

IdentifierTypeStateIssuer
2580041MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlees410492@direct.ohiohealth.com Third Street Community Clinic, Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000011 OH Practitioner - Family Practice 0840223319 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-085365OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Ohio PA Co CurrentSince Nov 2, 2015 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Clinic Regional Physicians LLC Family Medicine Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

4660 Hinckley Industrial Pkwy
Cleveland, OH 44109
Phone (216) 749-2730

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1235117334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 3RD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062633",
            "telephone_number": "419-522-6191",
            "fax_number": "419-525-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 3RD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062633",
            "telephone_number": "419-522-6191",
            "fax_number": "419-525-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Oak Tree Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442123500",
            "country_code": "US",
            "telephone_number": "330-225-9856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 Oak Tree Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442123500",
            "country_code": "US",
            "telephone_number": "330-225-9856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Massillon Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "44685",
            "country_code": "US",
            "telephone_number": "330-896-5651",
            "fax_number": "330-896-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEES",
        "first_name": "MICHELLE",
        "middle_name": "JUDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-085365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580041",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlees410492@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Third Street Community Clinic, Inc.",
            "address_1": "600 W 3rd St",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449062633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.