Organization Active NPI

Max M. Lee, M.D.

Doing business as Max Lee, M.D.

  • Specialist
  • Normandy Park, WA
National Provider Identifier
1376564393
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MAX M. LEE, M.D.
Doing business as
Max Lee, M.D.
Practice address
19711 1St Ave S
Normandy Park, WA 98148-2401
Phone
(206) 824-2183
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Dr. Max M Lee, MDNPI 1003808627
Title
Owner
Phone
(206) 824-2183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

19711 1St Ave S
Normandy Park, WA 98148-2401

Mailing address

19711 1St Ave S
Normandy Park, WA 98148-2401
Phone (206) 592-5000

Other identifiers 2

IdentifierTypeStateIssuer
1592708MedicaidWA
760111256OtherWARR MEDICARE

Other names 1

  • Max Lee, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

19711 1st Ave S
Normandy Park, WA 98148
Phone (206) 743-8942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1376564393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19711 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19711 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-824-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX M. LEE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-824-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1592708",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "760111256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Lee, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.