Individual provider Active NPI

Christopher Marcus Lee, D.O.

  • Obstetrics & Gynecology Physician
  • Enid, OK
National Provider Identifier
1548389240
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4089 Issued in OK
Practice address
615 E Oklahoma Ave Ste 203
Enid, OK 73701-5952
Phone
(580) 242-3870
Fax
(580) 242-4046
NPI assigned
Mar 27, 2007
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4089 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave Ste 203
Enid, OK 73701-5952

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (580) 242-3870

Other identifiers 1

IdentifierTypeStateIssuer
200023880AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070927000388 OK Practitioner - Obstetrics/Gynecology 0345131868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 E State Rd
Fairview Family Clinic
Fairview, OK 73737-1458
Phone (580) 227-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4089OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Physician Associates, LLC CurrentSince Jun 4, 2012 Accepting new patients
St. Mary's Physician Associates, LLC Obstetrics & Gynecology CurrentSince Jun 4, 2012 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

310 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 213-3333

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

615 E Oklahoma Ave
Ste 203
Enid, OK 73701
Phone (580) 234-5546

519 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

Interoperability endpoints

  • Direct secure messaging: christopher.lee@ipmcentral.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1548389240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-242-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE STE 203",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-242-3870",
            "fax_number": "580-242-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.