Active NPI
Corazon Giron Lee, MD
- Pediatrics Physician
- Fairfax, VA
National Provider Identifier
1699938076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101225822
- Practice address
- 8301 Arlington Blvd Ste 401
Fairfax, VA 22031-2902 - Phone
- (703) 645-0606
- Fax
- (703) 207-9273
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101225822 | VA | Primary |
Addresses
Primary practice location
8301 Arlington Blvd Ste 401
Fairfax, VA 22031-2902
Mailing address
8301 Arlington Blvd Ste 401
Fairfax, VA 22031-2902
Phone (703) 645-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006786804 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101225822 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.I.Lee,M.D.,P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1700047909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1699938076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 ARLINGTON BLVD STE 401",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312902",
"telephone_number": "703-645-0606",
"fax_number": "703-207-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 ARLINGTON BLVD STE 401",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312902",
"telephone_number": "703-645-0606",
"fax_number": "703-207-9273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CORAZON",
"middle_name": "GIRON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101225822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006786804",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.