Paul Jaw-Shyang Lee, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L4521 Issued in TX

Practice address

855 Montgomery
Fort Worth, TX 76107-2553

Phone

(817) 920-6300

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762

  Emergency Medicine, TX

  Medicare reassignment Care Compare group NPD
• Ess of Nacogdoches LLC

  • Emergency Medicine Physician
  • Nacogdoches, TX
  • NPI 1780139956

  Emergency Medicine, TX

  Medicare reassignment Care Compare group NPD
• Texas Specialty Physicians

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179

  TX

  Medicare reassignment Care Compare group
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562

  TX

  Medicare reassignment NPD
• Bridlewood Family Healthcare, P.a.

  • Primary Care Clinic/Center
  • Flower Mound, TX
  • NPI 1821218652

  TX

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  Emergency Medicine, TX

  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729

  Emergency Medicine, TX

  Medicare reassignment NPD
• Ess of Fairfield LLC

  • Emergency Medicine Physician
  • Fairfield, TX
  • NPI 1588132856

  Emergency Medicine, TX

  Medicare reassignment NPD
• HCC of Fairfield LLC

  • Internal Medicine Physician
  • Fairfield, TX
  • NPI 1487122750

  TX

  Medicare reassignment NPD
• Hot Shot Medical Group, LLC

  • Community Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1144948688

  TX

  Medicare reassignment NPD
• Questcare Medical Services, PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1912059247

  Emergency Medicine, TX

  Medicare reassignment NPD
• Western Texas Emergency Physicians PLLC

  • Emergency Medicine Physician
  • McKinney, TX
  • NPI 1184674020

  Emergency Medicine, TX

  Medicare reassignment NPD

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

• Nacogdoches County Hospital District

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748

  Hospital

  Care Compare affiliation
• Somervell County Hospital District

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575

  Hospital

  Care Compare affiliation

Specialty

Family PracticeAlso: Emergency Medicine, Hospitalist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ess of Nacogdoches LLC 27 clinicians

Texas Specialty Physicians 59 clinicians

Concord Medical Group of Texas PLLC 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fmcplee@yourcarecommunity.org

• Paul J Lee Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2015.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1710075239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99335",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990335",
            "telephone_number": "817-920-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-920-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "JAW-SHYANG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L4521",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027NK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156295111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE INDIVIDUAL #",
            "identifier": "139342101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156295110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BQ000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156295117",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EX921",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "LEE",
            "middle_name": "J",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyung Jin Lee, F.N.P.
• Laura Lee, PA-C
• Lexie Suzanne Lee, L.P.C.
• Matthew T Lee, ATP
• Nicole Dawn Lee, LVN
• Rachel Lee, LMT
• Robert Wayne Lee, R.PH.
• Samuel C Lee, DO
• Soo H Lee, LPC
• Steven Lee, MD

• All providers in Fort Worth, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.