Active NPI
Sung G Lee, M.D.
- Obstetrics & Gynecology Physician
- Okemos, MI
National Provider Identifier
1477571461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 37010
- Practice address
- 4129 Okemos Rd
Suite 7
Okemos, MI 48864-2822 - Phone
- (517) 351-1766
- Fax
- (517) 351-3115
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37010 | MI | Primary |
| General Practice Physician | 208D00000X | 037010 | MI |
Addresses
Primary practice location
4129 Okemos Rd
Suite 7
Okemos, MI 48864-2822
Mailing address
4129 Okemos Rd
Suite 7
Okemos, MI 48864-2822
Phone (517) 351-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2097438 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37010 | MI | MD | Obstetrics & Gynecology Physician |
| 037010 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristo Rey Community Center | 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.
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- Lansing, MI
- NPI 1700901964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1477571461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 OKEMOS RD",
"address_2": "SUITE 7",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642822",
"telephone_number": "517-351-1766",
"fax_number": "517-351-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 OKEMOS RD",
"address_2": "SUITE 7",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642822",
"telephone_number": "517-351-1766",
"fax_number": "517-351-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNG",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "37010",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "037010",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2097438",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.