Individual provider Active NPI

Yongwon Lee, PA-C

  • Physician Assistant
  • Towson, MD
National Provider Identifier
1669414785
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002800 Issued in MD
Practice address
950 York Rd
Towson, MD 21204-2513
Phone
(410) 372-6373
Fax
(410) 532-4962
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002800 MD Primary

Addresses

Primary practice location

950 York Rd
Towson, MD 21204-2513

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000596 MD Practitioner - Physician Assistant 3678566304 Reassigns benefits to 2 organizations
I20170607000154 DC Practitioner - Physician Assistant 3678566304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10755 Falls Rd
Suite 160
Lutherville, MD 21093-4588
Phone (410) 583-2777

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

5100 Eastern Ave
Bayview
Baltimore, MD 21224-2772
Phone (410) 814-4500

560 W Macphail Rd
Bel Air, MD 21014-4320
Phone (410) 638-6480

5900 Cedar LN
Columbia, MD 21044-3635
Phone (443) 718-4067

6333 Baltimore Nat Pike
Catonsville, MD 21228-3910
Phone (443) 514-1361

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

8830 Belair Rd
Baltimore, MD 21236-2401
Phone (410) 529-9200

950 York Rd
Towson, MD 21204-2513
Phone (410) 372-6373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Oct 1, 2003 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Apr 15, 2017 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Apr 15, 2017 Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Apr 15, 2017 Accepting new patients

Locations

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

950 York Rd
Towson, MD 21204
Phone (410) 372-6373

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1669414785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042513",
            "telephone_number": "410-372-6373",
            "fax_number": "410-532-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONGWON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "950 York Rd",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212042513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.