Individual provider Active NPI

Paul Samuel Lee, MD

  • Obstetrics & Gynecology Physician
  • Huntington, WV
National Provider Identifier
1689697872
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19474 Issued in WV
Practice address
1660 12TH Ave
Huntington, WV 25701-3833
Phone
(304) 522-3420
Fax
(304) 529-4645
NPI assigned
Jul 26, 2006
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19474 WV Primary

Addresses

Primary practice location

1660 12TH Ave
Huntington, WV 25701-3833

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 522-3420

Other identifiers 4

IdentifierTypeStateIssuer
7100466070MedicaidKY
0204126MedicaidOH
1689697872MedicaidWV
0093852000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.lee@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000799 WV Practitioner - Obstetrics/Gynecology 8224217062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JC Edwards School of Medicine, Marshall University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabell Huntington Hospital IncGroup PAC ID 3274436340, 88 clinicians

Practice addresses (Care Compare)

1660 12TH Ave
Huntington, WV 25701-3833
Phone (304) 522-3420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc Current Accepting new patients
Cabell Huntington Hospital, Inc Obstetrics & Gynecology CurrentSince Feb 24, 2013 Accepting new patients
Heffernan Assaley & Lee M D Inc. Obstetrics & Gynecology CurrentSince Jul 20, 1998 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Feb 24, 2013 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1660 12th Ave
Huntington, WV 25701
Phone (304) 522-3387

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1689697872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-522-3420",
            "fax_number": "304-529-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 12TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013833",
            "telephone_number": "304-522-3420",
            "fax_number": "304-529-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "19474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100466070",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204126",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689697872",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093852000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.lee@direct.chhi.org",
            "affiliation": "N",
            "address_1": "1660 12th Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.