Jae Yong Lee DO LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41591 Issued in CO

Legal business name

JAE YONG LEE DO LLC

Practice address

14100 E Arapahoe Rd
Suite 360
Centennial, CO 80112-4028

Phone

(303) 699-3197

Fax

(303) 699-3186

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Jae Yong Lee, DONPI 1114918588

Title

Physican

Phone

(303) 699-3197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jae Yong Lee, DO LLC

  • Internal Medicine Physician
  • Centennial, CO
  • NPI 1114918588
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1598866907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 360",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3197",
            "fax_number": "303-699-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 360",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3197",
            "fax_number": "303-699-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE YONG LEE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "303-699-3197",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Colleen Jacob, PA-C
• Laura L Jacob, RDH
• Donald Richard Jacobs, MD
• Murray Jacobs, D.D.S.
• Olivia Jaconette, DDS
• James .T.M. Anderson, DC, PC
• James Bieneman DDS PC
• Fayth James
• Nzingha James
• Sarah Jamison

• Internal Medicine Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.