Active NPI
Timothy Ross Lee, PC
- Certified Registered Nurse Anesthetist
- Dallas, TX
National Provider Identifier
1568508380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 253403
- Legal business name
- TIMOTHY ROSS LEE, PC
- Practice address
- 5327 N Central Expy
Suite 200
Dallas, TX 75205-3361 - Phone
- (214) 520-8235
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Berta Aguiar
- Title
- Billing Coordinator
- Phone
- (972) 416-6775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 253403 | TX | Primary |
Addresses
Primary practice location
5327 N Central Expy
Suite 200
Dallas, TX 75205-3361
Mailing address
2840 Keller Springs Rd
Suite 401
Carrollton, TX 75006-4829
Phone (972) 416-6775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C88S | Other | TX | BCBS |
Other names 1
- Maverick Anesthesia Services, PLLC
National Provider Directory
National Provider DirectoryLocations
2840 Keller Springs Rd
Ste 401
Carrollton, TX 75006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1861584179
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568508380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 KELLER SPRINGS RD",
"address_2": "SUITE 401",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750064829",
"telephone_number": "972-416-6775",
"fax_number": "972-417-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5327 N CENTRAL EXPY",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053361",
"telephone_number": "214-520-8235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY ROSS LEE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AGUIAR",
"authorized_official_first_name": "BERTA",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "972-416-6775",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "253403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00C88S",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maverick Anesthesia Services, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.