Active NPI
Jason Glenn Lee, MD
- Interventional Pain Medicine Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 47256
- Practice address
- 1000 Breckenridge St
Suite 302
Owensboro, KY 42303-0839 - Phone
- (270) 688-3550
- Fax
- (270) 688-3559
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | R2316 | KY | |
| Pain Medicine Physician | 208VP0000X | 47256 | KY | |
| Interventional Pain Medicine Physician | 208VP0014X | 47256 | KY | Primary |
Addresses
Primary practice location
1000 Breckenridge St
Suite 302
Owensboro, KY 42303-0839
Mailing address
1000 Breckenridge St
Suite 302
Owensboro, KY 42303-0839
Phone (270) 688-3550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlee52701@direct.owensborohealth.org | Owensboro Health Medical Group Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Owensboro Health, Inc
Practice addresses (Care Compare)
1000 Breckenridge St
Owensboro, KY 42303-0839
Phone (270) 683-2751
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
Hospital & facility affiliations
- Owensboro Health Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2316 | KY | MD | Physical Medicine & Rehabilitation Physician |
| 47256 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Pain Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1000 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-2751
1000 Breckenridge St
Ste 302
Owensboro, KY 42303
Phone (270) 684-5679
1000 Breckenridge St
Ste 205
Owensboro, KY 42303
Phone (270) 688-3550
Organizations & group practices 4
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.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Family Medicine Physician
- Henderson, KY
- NPI 1962821603
Pain Medicine
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497073530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRECKENRIDGE ST",
"address_2": "SUITE 302",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423030839",
"telephone_number": "270-688-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRECKENRIDGE ST",
"address_2": "SUITE 302",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423030839",
"telephone_number": "270-688-3550",
"fax_number": "270-688-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JASON",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2023-11-27",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "R2316",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "47256",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "47256",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlee52701@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group Inc",
"address_1": "1000 Breckenridge St",
"address_2": "Suite 205",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.