Organization Active NPI

Shung-Man Kurt Lee Mdpa

  • Nephrology Physician
  • Beaumont, TX
National Provider Identifier
1386619112
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SHUNG-MAN KURT LEE MDPA
Practice address
2965 Harrison St
Ste 222
Beaumont, TX 77702-1100
Phone
(409) 892-1003
NPI assigned
Feb 23, 2006
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Shung Man Kurt Lee, MDNPI 1386610103
Title
President
Phone
(409) 892-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

2965 Harrison St
Ste 222
Beaumont, TX 77702-1100

Mailing address

PO Box 12435
Beaumont, TX 77726-2435
Phone (409) 892-1003

Other identifiers 1

IdentifierTypeStateIssuer
081418801MedicaidTX

Other names 1

  • S M KURT LEE, MD, PA Other name

National Provider Directory

National Provider Directory

Locations

2755 Liberty St
Beaumont, TX 77702
Phone (409) 839-8204

2965 Harrison Ave
#222
Beaumont, TX 77702

2965 Harrison Ave
Ste 116
Beaumont, TX 77702

3340 Plaza 10 Dr
Beaumont, TX 77707
Phone (409) 835-0835

3740 Laurel St
Beaumont, TX 77707
Phone (409) 838-6602

2014 S Wheeler St
#300A
Jasper, TX 75951

2014 S Wheeler St
#300B
Jasper, TX 75951

2014 S Wheeler St
Ste 300B
Jasper, TX 75951

930 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-4200

1301 Martin Luther King Jr Dr
#A
Orange, TX 77630

1301 Martin Luther King Jr Dr
Ste A
Orange, TX 77630
Phone (409) 670-9979

3600 Gates Blvd
Fl 3
Port Arthur, TX 77642
Phone (409) 989-5300

8333 9th Ave
Ste G
Port Arthur, TX 77642
Phone (409) 729-8088

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1386619112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12435",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262435",
            "telephone_number": "409-892-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST",
            "address_2": "STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUNG-MAN KURT LEE MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHUNG MAN",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-892-1003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081418801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S M KURT LEE, MD, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.