Active NPI
Uhun Ro Lee, M.D
- Obstetrics & Gynecology Physician
- Brockton, MA
National Provider Identifier
1689637944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40044
- Practice address
- 45 Pearl St
Brockton, MA 02301-2858 - Phone
- (508) 580-0044
- Fax
- (508) 587-0350
- NPI assigned
- Apr 8, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40044 | MA | Primary |
Addresses
Primary practice location
45 Pearl St
Brockton, MA 02301-2858
Mailing address
45 Pearl St
Brockton, MA 02301-2858
Phone (508) 580-0044
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92910 | Other | MA | AETNA |
| J03194 | Other | MA | BLUE SHIELD |
| 2047063 | Medicaid | MA | |
| 13020 | Other | MA | HARVARD PILGRIM |
| 040044 | Other | MA | TUFTS HEALTH PLAN |
| 000000007252 | Other | MA | BOSTON HEALTH NET PLAN |
| 0004321 | Other | MA | NEIGHBORHOOD HEALTH |
| 0701045 | Other | MA | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689637944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012858",
"telephone_number": "508-580-0044",
"fax_number": "508-587-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012858",
"telephone_number": "508-580-0044",
"fax_number": "508-587-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "UHUN",
"middle_name": "RO",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "40044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "92910",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J03194",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047063",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "13020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "040044",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON HEALTH NET PLAN",
"identifier": "000000007252",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0004321",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0701045",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.