Active NPI
Wayne Ki Fook Lee, MD
- Surgery Physician
- Honolulu, HI
National Provider Identifier
1548327794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD3799
- Practice address
- 1380 Lusitana St
Suite 708
Honolulu, HI 96813 - Phone
- (808) 524-1537
- Fax
- (808) 599-5397
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD3799 | HI | Primary |
Addresses
Primary practice location
1380 Lusitana St
Suite 708
Honolulu, HI 96813
Mailing address
1380 Lusitana St
Suite 708
Honolulu, HI 96813
Phone (808) 524-1537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04397701 | Medicaid | HI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3799 | HI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548327794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "SUITE 708",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-524-1537",
"fax_number": "808-599-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LUSITANA ST",
"address_2": "SUITE 708",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-524-1537",
"fax_number": "808-599-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WAYNE",
"middle_name": "KI FOOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "MD3799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04397701",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.