Active NPI
Joo A Lee, MD
- Hospitalist Physician
- Columbus, OH
National Provider Identifier
1598924524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.093396
- Practice address
- 3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912 - Phone
- (614) 268-8164
- Fax
- (614) 268-8406
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.093396 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35.093396 | OH |
Addresses
Primary practice location
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Mailing address
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Phone (614) 268-8164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2938521 | Medicaid | OH |
Other names 1
- Joo Ahn Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.093396 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Hospitalists, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Columbus, OH
- NPI 1659455145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1598924524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD",
"address_2": "SUITE 1080",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143912",
"telephone_number": "614-268-8164",
"fax_number": "614-268-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD",
"address_2": "SUITE 1080",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143912",
"telephone_number": "614-268-8164",
"fax_number": "614-268-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.093396",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.093396",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2938521",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOO",
"last_name": "LEE",
"middle_name": "AHN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.