Active NPI
Lee W Tempel, MD
- Neurology Physician
- Saint Louis, MO
National Provider Identifier
1306874144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R1G89
- Practice address
- 11628 Old Ballas Rd
Ste 106
Saint Louis, MO 63141-7030 - Phone
- (314) 593-2855
- Fax
- (636) 487-0164
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 105681 | MO | |
| Neurology Physician | 2084N0400X | R1G89 | MO | Primary |
Addresses
Primary practice location
11628 Old Ballas Rd
Ste 106
Saint Louis, MO 63141-7030
Mailing address
11628 Old Ballas Rd
Ste 106
Saint Louis, MO 63141-7030
Phone (314) 593-2855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202452330 | Medicaid | MO |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105681 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1306874144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"address_2": "STE 106",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-593-2855",
"fax_number": "636-487-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11628 OLD BALLAS RD",
"address_2": "STE 106",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417030",
"telephone_number": "314-593-2855",
"fax_number": "636-487-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPEL",
"first_name": "LEE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "105681",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R1G89",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202452330",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.