Anh-Dao Laura Son Lee, DO

Key facts

NPI

1417577974

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

34.016817 (OH)

Practice address

1210 Ashland Ave
Zanesville, OH 43701-2806

Phone

(740) 454-0370

Fax

(740) 454-2411

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

Yes

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.

• Genesis Primary Care Physicians LLC Family Medicine Physician · Zanesville, OH · NPI 1790061513
  Medicare reassignment Care Compare group NPD MULTI-SPECIALTY · OH

Hospital & facility affiliations 7

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

• Genesis Healthcare System Community/Retail Pharmacy · Zanesville, OH · NPI 1184435414
  Care Compare affiliation Hospital
• Genesis Healthcare System Community/Retail Pharmacy · Zanesville, OH · NPI 1477150951
  Care Compare affiliation Hospital
• Genesis Healthcare System General Acute Care Hospital · Zanesville, OH · NPI 1598868655
  Care Compare affiliation Hospital
• Genesis Healthcare System Community/Retail Pharmacy · Coshocton, OH · NPI 1710839436
  Care Compare affiliation Hospital
• Southeastern Home Care LLC Home Health Agency · Cambridge, OH · NPI 1851628028
  Care Compare affiliation Home health agency
• Southeastern Ohio Regional Medical Center Inc Rural Acute Care Hospital · Cambridge, OH · NPI 1346247350
  Care Compare affiliation Hospital
• Zanesville Homecare Ventures, LLC Home Health Agency · Zanesville, OH · NPI 1568772721
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Primary Care Physicians, LLC (45 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Home Care Home health agency · Zanesville, OH · CCN 367114
• Southeastern Home Care, LLC Home health agency · Cambridge, OH · CCN 367433
• Genesis Hospital Hospital · Zanesville, OH · CCN 360039
• Southeastern Ohio Regional Medical Center Hospital · Cambridge, OH · CCN 360203

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2023.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1417577974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ASHLAND AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012806",
            "telephone_number": "740-454-0370",
            "fax_number": "740-454-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ASHLAND AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012806",
            "telephone_number": "740-454-0370",
            "fax_number": "740-454-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANH-DAO",
        "middle_name": "LAURA SON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

• Tien Hung Son Le, DPM
• Van Le, M.D.
• Elizabeth Lear, PHARMD
• Danielle Kay Leasure
• Lauda Maria Leavitt, BA,QMHS
• Erin Lee
• Kelly Lee, LISW-S, LICDC
• Mikayla Sue Ann Lee
• Netria Nicole Lee
• Bethanne W Leffel-Ployhar, MSW, LISW

All providers in Zanesville, OH · Family Medicine Physician in Ohio