Wayne C Lee, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

93895 Issued in FL

Practice address

1020 E Brandon Blvd Ste 101
Brandon, FL 33511

Phone

(813) 579-3369

Fax

(866) 202-3227

NPI assigned

Nov 30, 2006

Last updated

Dec 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: wayneleemdplasticsurgery.waynelee@134327.advancedmd-direct.com
• Direct secure messaging: wlee9003@direct.tgh.org

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.

• Wayne Lee MD Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Brandon, FL
  • NPI 1710269097
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Tranquil Anesthesiology LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1235514456
  NPD
• St. Francis Medical Group, LLC

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1467693135
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1598833543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 W LUMSDEN RD STE 350",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118820",
            "telephone_number": "813-579-3369",
            "fax_number": "866-202-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E BRANDON BLVD STE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-579-3369",
            "fax_number": "866-202-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Park Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134679",
            "country_code": "US",
            "telephone_number": "813-579-3369",
            "fax_number": "866-202-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WAYNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "93895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598833543",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "067770B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Elizabeth Lee
• Horyeong Lee, DMD
• Oliver Lee, PT
• Roentgen Kwan-Ren Lee, D.O.
• Shanel Lee, BCBA
• Ingrid Leeloy, DDS
• Kathryn Hegland Leenhouts, MD
• Ingrid L. Legall, MD
• Ellen Leger, SLP
• Michaelle Leger, BCBA

• Plastic Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.