Suk-Wan Lee MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35036869 Issued in OH

Legal business name

SUK-WAN LEE MD LLC

Practice address

998 S Dorset Rd
Suite 206
Troy, OH 45373-4753

Phone

(937) 332-1165

Fax

(937) 332-1384

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Suk-Wan Lee, MD

Title

Owner/Sole Proprietor

Phone

(937) 332-1165

Specialties & licenses 1

Addresses

Practitioners 1

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

• Suk Wan Lee, MD

  • Cardiovascular Disease Physician
  • Troy, OH
  • NPI 1467420265
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649379967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730798",
            "telephone_number": "937-332-1165",
            "fax_number": "937-332-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S DORSET RD",
            "address_2": "SUITE 206",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453734753",
            "telephone_number": "937-332-1165",
            "fax_number": "937-332-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUK-WAN LEE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUK-WAN",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "937-332-1165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35036869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Studabaker, D.C.
• Judy K Studebaker
• Jessica Stull, NP
• Megan Stumpff
• Kathleen Sturgeon
• Tina L Supinger, LSW
• Pamela Sutherly, PAC
• Scott W Swabb, D.O.
• Kathryn Grayce Swanberg, M.A. CF-SLP
• Tiffany Tiara Swank

• Cardiovascular Disease Physician in Troy, OH
• Providers in Troy, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.