Paul C Lee, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44566 Issued in MA

Practice address

309 Teaticket Hwy
Teaticket, MA 02536-5625

Phone

(508) 540-6790

Fax

(508) 548-1932

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Internal Medicine

Education

Geisel School of Medicine at Dartmouth, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Falmouth Walk-in Medical Center, Inc.

  • Primary Care Clinic/Center
  • Teaticket, MA
  • NPI 1023103405

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558498352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025365625",
            "telephone_number": "508-540-6790",
            "fax_number": "508-548-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025365625",
            "telephone_number": "508-540-6790",
            "fax_number": "508-548-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "44566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "E05605",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9726861",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysa Sarah Grundy
• John Dmochowski, MD PC
• Jessica Jordan
• Jason J Kan, PHARM.D.
• Lasalle Health Service Inc
• Brittni M Lopes, RPH
• Ronald George Marcellus, LMHC
• Samantha McGrath, MS, LADC-1
• Richard James McKenna
• Mindful Medical Care P.C.

• Internal Medicine Physician in Teaticket, MA
• Providers in Teaticket, MA by specialty
• Internal Medicine Physician in Massachusetts

• 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.
• 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.

Verify at the official NPI Registry.