Individual provider Active NPI

Robert Z McLees, MD

  • Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1356309363
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD00014542 Issued in WA
Practice address
2201 S 19TH St
Ste #101
Tacoma, WA 98405-2962
Phone
(253) 475-5433
Fax
(253) 473-6715
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD00014542 WA Primary

Addresses

Primary practice location

2201 S 19TH St
Ste #101
Tacoma, WA 98405-2962

Mailing address

PO Box 8550
Tacoma, WA 98419-0550
Phone (253) 475-5433

Other identifiers 1

IdentifierTypeStateIssuer
1015783MedicaidWA

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD00014542WAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Genetics and Fertility Past Accepting new patients

Organizations & group practices 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1356309363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8550",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984190550",
            "telephone_number": "253-475-5433",
            "fax_number": "253-473-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "STE #101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052962",
            "telephone_number": "253-475-5433",
            "fax_number": "253-473-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEES",
        "first_name": "ROBERT",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "MD00014542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.