Individual provider Active NPI

Jason Glenn Lee, MD

  • Interventional Pain Medicine Physician
  • Owensboro, KY
National Provider Identifier
1497073530
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
47256 Issued in KY
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803001865 KY Practitioner - Interventional Pain ManagementPractitioner - Pain Management 2163736240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians

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 Hospital, Owensboro, KY, CCN 180038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2316KYMDPhysical Medicine & Rehabilitation Physician
47256KYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Pain Medicine CurrentSince Jul 15, 2015 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jul 15, 2015 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.