Y J Lee Gastroenterology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

051971 Issued in GA

Legal business name

Y J LEE GASTROENTEROLOGY, PC

Practice address

3855 Pleasant Hill Rd
Suite 260
Duluth, GA 30096-1407

Phone

(678) 473-1445

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yoon Jae Lee, MDNPI 1811942857

Title

President

Phone

(678) 473-1445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yoon Jae Lee, M.D.

  • Gastroenterology Physician
  • Duluth, GA
  • NPI 1811942857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1639268436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960034",
            "telephone_number": "678-473-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 260",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "678-473-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y J LEE GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOON JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-473-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "051971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya W Wright, MPT
• Adrenne M Wygonik, CRNA
• Yu Xin, APRN
• Ella Dongqing Xu
• Keping Xu, OD
• Angeline Yang
• Jane Yang, PH.D.
• Linda Yang, PHARMD
• Yeche,LLC. (Eye Decor)
• Yes Acupuncture & Chiropractic

• Specialist in Duluth, GA
• Providers in Duluth, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.