Active NPI
James Lee, M.D.
- Plastic Surgery Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 49054-020
- Practice address
- 704 S Webster Ave
Ste 401
Green Bay, WI 54301-3528 - Phone
- (920) 436-8284
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 0101052917 | VA | |
| Plastic Surgery Physician | 208200000X | 20893 | WV | |
| Plastic Surgery Physician | 208200000X | 49054-020 | WI | Primary |
Addresses
Primary practice location
704 S Webster Ave
Ste 401
Green Bay, WI 54301-3528
Mailing address
704 S Webster Ave
Ste 401
Green Bay, WI 54301-3541
Phone (304) 594-2015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20893 | Other | WV | BOARD OF MED LICENSE |
| 0101052917 | Other | VA | BOARD OF MED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Eastern Virginia Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
704 S Webster Ave
Green Bay, WI 54301-3528
Phone (920) 432-7433
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 27 |
| Removal or shaving of skin growth | 34 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052917 | VA | MD | Plastic Surgery Physician |
| 49054-020 | WI | MD | Plastic Surgery Physician |
| 20893 | WV | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Bay Plastic Surgical Assoc | Plastic Surgery | Current | Accepting new patients |
| Green Bay Surgical Center | Past | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784
704 S Webster Ave
Ste 301
Green Bay, WI 54301
704 S Webster Ave
Ste 401
Green Bay, WI 54301
Phone (414) 468-7333
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- Green Bay, WI
- NPI 1952420382
-
- Ambulatory Surgical Clinic/Center
- Green Bay, WI
- NPI 1194822411
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1245204759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S WEBSTER AVE",
"address_2": "STE 401",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013541",
"telephone_number": "304-594-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S WEBSTER AVE",
"address_2": "STE 401",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013528",
"telephone_number": "920-436-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101052917",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WV",
"license": "20893",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "49054-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MED LICENSE",
"identifier": "20893",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MED LICENSE",
"identifier": "0101052917",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.