Mary Lee MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

43010161252 Issued in MI

Legal business name

MARY LEE MD, PC

Practice address

33200 W 14 Mile Rd
West Bloomfield, MI 48322-3563

Phone

(248) 419-5111

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mary S Lee, M.D.NPI 1932180817

Title

Physician

Phone

(248) 419-5111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary S Lee, MD

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1932180817
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1598296485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-419-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-419-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LEE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-419-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "43010161252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Martin
• Michele Martin, RDH
• Shannon Martin, LMSW
• Janely Martinez
• Marvin L Kofender
• Cortney Lynn Maser, LLMSW
• Emily Mason, PA-C
• Dalya Mati
• Gabrielle E Matt
• Sarah Anne Mattan, PA

• Primary Care Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.