Michael Lee, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000732 Issued in WA

Practice address

1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5641

Phone

(912) 435-5965

Fax

(912) 435-5965

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Basin Foot & Ankle PS

  • Podiatrist
  • Moses Lake, WA
  • NPI 1669437067
  NPD (past) Authorized official
• Advanced Podiatry Specialists PS

  • Podiatrist
  • Yakima, WA
  • NPI 1164463923
  NPD (past)
• Fasa Family Wellness PLLC

  • Foot & Ankle Surgery Podiatrist
  • Yakima, WA
  • NPI 1871506444
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1699756189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5965",
            "fax_number": "912-435-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5965",
            "fax_number": "912-435-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8377848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Lavell, LCSW
• Jerome Lavis, LPC-S, LMFT, LCDC
• Becky Lee, DMD
• Burgess Herbert Lee Jr., D.M.D.
• Jerecia Amanda Lee, LCSW
• Sanghyub Lee
• Yi-Ling Lee, R.D.
• Philisa Renee Legrier, R.N.
• Lori A. Lehouiller, PT
• Rebecca Leon

• Podiatrist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.