Individual provider Active NPI

James J Lee, DO

  • General Practice Physician
  • Wilkes Barre, PA
National Provider Identifier
1306933114
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04408 Issued in KY
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7762
Fax
(570) 808-6128
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04408 KY
Emergency Medicine Physician 207P00000X OS 011041 PA
Emergency Medicine Physician 207P00000X 25MB08169500 NJ
General Practice Physician 208D00000X 04408 KY Primary

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other practice location 1

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 659-5555

Other identifiers 2

IdentifierTypeStateIssuer
04408OtherKYLICENSE
7100577550MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040113000344 PA Practitioner - Emergency Medicine 1254231467 Reassigns benefits to 2 organizations
I20070410000025 NJ Practitioner - Emergency Medicine 1254231467 Reassigns benefits to 3 organizations
I20181228001630 KY Practitioner - Emergency Medicine 1254231467 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

100 Townsend Ave
Berlin, NJ 08009-9011
Phone (856) 322-3260

12610 Townepark Way
Louisville, KY 40243-2068
Phone (800) 805-6989

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4100

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 011041PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jan 1, 2007 Accepting new patients
Crossroads Treatment Center of Northern Kentucky, PSC CurrentSince Dec 1, 2024 Accepting new patients
Starting Point of Kentucky, PSC CurrentSince Nov 26, 2024 Accepting new patients
Atlanticare Physician Group CurrentSince Feb 24, 2019 Accepting new patients
Crossroads Treatment Center of Louisville, PSC CurrentSince Nov 4, 2024 Accepting new patients
T J Samson Community Hospital General Practice CurrentSince Jun 1, 2019 Accepting new patients
Urgent Care Services Southeast PSC CurrentSince Oct 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2019 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Feb 24, 2019 Accepting new patients
Crossroads Treatment Center of Somerset, PSC CurrentSince Dec 1, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Feb 24, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Crossroads Treatment Center of Ashland, PSC CurrentSince Nov 4, 2024 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Nov 11, 2018 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Starting Point of Kentucky, PSC CurrentSince Nov 26, 2024 Accepting new patients
Starting Point of Kentucky, PSC Current Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Conestoga Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1220 Greenup Ave
Ashland, KY 41101
Phone (606) 393-1165

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1974 Walton Nicholson Pike
Independence, KY 41051
Phone (859) 356-6800

1700 Cargo Ct
Louisville, KY 40299
Phone (502) 749-6764

12610 Townepark Way
Middletown, KY 40243
Phone (800) 805-9689

607 Clifty St
Somerset, KY 42503
Phone (606) 485-4730

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

110 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 408-4971

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1306933114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7762",
            "fax_number": "570-808-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N L Rogers Wells Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411300",
            "country_code": "US",
            "telephone_number": "270-659-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "04408",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS 011041",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08169500",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "04408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "04408",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100577550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.