Active NPI
Richard Bailey Lee Jr., M.D.
- Family Medicine Physician
- Madisonville, KY
National Provider Identifier
1689635260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26014
- Practice address
- 200 Clinic Dr
Madisonville, KY 42431-1661 - Phone
- (270) 825-7200
- Fax
- (270) 825-6630
- NPI assigned
- Mar 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26014 | KY | Primary |
Addresses
Primary practice location
200 Clinic Dr
Madisonville, KY 42431-1661
Mailing address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000512579 | Other | BS PROVIDER NUMBER | |
| 64260144 | Medicaid | KY |
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 |
|---|---|---|---|
| 26014 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Madisonville Inc | Family Medicine | Past | Accepting new patients |
| Horizon Clinic LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Madisonville, KY
- NPI 1669452967
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1689635260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "270-825-7200",
"fax_number": "270-825-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "270-825-7200",
"fax_number": "270-825-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE JR.",
"first_name": "RICHARD",
"middle_name": "BAILEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "26014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS PROVIDER NUMBER",
"identifier": "000000512579",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64260144",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.