Active NPI
Cindy M Lee, D.O.
- Family Medicine Physician
- Anchorage, AK
National Provider Identifier
1235169509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2448
- Practice address
- 4100 Lake Otis Pkwy
Suite 206
Anchorage, AK 99508 - Phone
- (907) 561-5007
- Fax
- (907) 561-5057
- NPI assigned
- Jul 3, 2006
- Last updated
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Family Medicine Physician | 207Q00000X | 2448 | AK | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2448 | AK |
Addresses
Primary practice location
4100 Lake Otis Pkwy
Suite 206
Anchorage, AK 99508
Mailing address
4100 Lake Otis Pkwy
Suite 206
Anchorage, AK 99508
Phone (907) 561-5007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0105 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Medicine (Family Medicine) Physician
- Anchorage, AK
- NPI 1437487493
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1871529990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1235169509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "SUITE 206",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-561-5007",
"fax_number": "907-561-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "SUITE 206",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-561-5007",
"fax_number": "907-561-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CINDY",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "2448",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "AK",
"license": "2448",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0105",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.