Lee Konecke, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD010173E Issued in PA

Practice address

676 Dekalb Pike
Ste 101
Blue Bell, PA 19422-1223

Phone

(610) 279-7696

Fax

(610) 279-7782

NPI assigned

Jun 17, 2005

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.

• Cardiovascular Associates of Southeaster Pennsylvania PC

  • Cardiovascular Disease Physician
  • Wynnewood, PA
  • NPI 1598761538
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1508861337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N. BROAD STREET",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "215-462-7100",
            "fax_number": "215-463-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 DEKALB PIKE",
            "address_2": "STE 101",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221223",
            "telephone_number": "610-279-7696",
            "fax_number": "610-279-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKE",
        "first_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD010173E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006943220017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindle Hill Foundation Charity
• Kleya Psychiatry
• Sonya M. Knight, DO
• John Dylan Kohutka, DPT
• Kiralie Konde, MSS, LSW
• Elinda L. Kormann, R.PH., M.S.
• Francesca Odarkai Kotey, CNM
• Bret Kottler, L.AC., DIPL.AC.
• David Stuart Krause, MD
• Christina Leigh Kremer

• Cardiovascular Disease Physician in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.