Active NPI
Michael Lee
- Emergency Medicine Physician
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 206099
- Practice address
- 33-57 Harrison St
Johnson City, NY 13790-2107 - Phone
- (607) 763-6000
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME77184 | FL | |
| Emergency Medicine Physician | 207P00000X | MD421003 | PA | |
| Emergency Medicine Physician | 207P00000X | 206099 | NY | Primary |
Addresses
Primary practice location
33-57 Harrison St
Johnson City, NY 13790-2107
Mailing address
6896 W Snowville Rd
Brecksville, OH 44141-3214
Other practice location 1
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone (239) 772-6513
Other practice location 2
620 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone (818) 287-7409
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44845 | Other | FL | BLUE CROSS BLUE SHIELD |
| 5978691 | Other | FL | AETNA |
| 256928100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME77184 | FL | MD | Emergency Medicine Physician |
| 206099 | NY | MD | Emergency Medicine Physician |
| MD421003 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| San Francisco Physicians International Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Trinity Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Mobile Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | Accepting new patients | |
| Cape Coral Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients | |
| Best Care Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Blue Job Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| All X Ray Diagnostic Services Corp | Past | Accepting new patients | |
| North Florida Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients | |
| Advance Technological Radiology, PA | Past | Accepting new patients |
Locations
800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
395 Silver Spur Rd
Rolling Hills Estates, CA 90274
Phone (424) 323-3500
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
6440 Platt Ave
West Hills, CA 91307
Phone (818) 946-1103
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170
1 Harmon Plz
Ste 1010
Secaucus, NJ 07094
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1751 Earl L Core Rd
Morgantown, WV 26505
Phone (304) 255-2500
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1881934982
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
dba San Ramon Emergency Physicians
- Emergency Medicine Physician
- San Ramon, CA
- NPI 1841220720
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1487669016
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Emergency Medicine Physician
- Trussville, AL
- NPI 1326750589
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
-
- Clinic/Center
- Miami, FL
- NPI 1659399574
-
- Emergency Medicine Physician
- Kissimmee, FL
- NPI 1962675736
-
- Emergency Medicine Physician
- Fort Walton Beach, FL
- NPI 1457760142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1609820901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6896 W SNOWVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-6000"
}
],
"practiceLocations": [
{
"address_1": "636 Del Prado Blvd S",
"address_purpose": "LOCATION",
"city": "Cape Coral",
"state": "FL",
"postal_code": "339902668",
"country_code": "US",
"telephone_number": "239-772-6513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 E Janss Rd",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913605113",
"country_code": "US",
"telephone_number": "818-287-7409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME77184",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD421003",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "206099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "44845",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5978691",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256928100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.