Suk Wan Lee, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35036869 Issued in OH

Practice address

998 S Dorset Rd
Suite 206
Troy, OH 45373-4753

Phone

(937) 332-1165

Fax

(937) 332-1384

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Suk-Wan Lee MD LLC

  • Cardiovascular Disease Physician
  • Troy, OH
  • NPI 1649379967
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1467420265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-7497",
            "fax_number": "937-440-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S DORSET RD",
            "address_2": "SUITE 206",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734753",
            "telephone_number": "937-332-1165",
            "fax_number": "937-332-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUK",
        "middle_name": "WAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35036869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nicole Lawless
• Elizabeth Lawrence, RN
• Lesley Lawrence
• Rachel Anne Lawrence, CNP
• Emily Layne
• Claire Legault, MS, RD
• Wayne Richard Leiss, R.PH., PHARMD.
• Susan Michelle Levorchick, RN, BSN
• Laurie Lewis-Curnutte, LSW
• Bradley Johnathan Lewis

• Cardiovascular Disease Physician in Troy, OH
• Providers in Troy, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.