Foo Tack Lee, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD034770L Issued in PA

Practice address

1215 Nicklaus Way
Gibsonia, PA 15044-7727

Phone

(724) 265-8468

NPI assigned

Mar 4, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Upmc Community Medcine Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD (past)

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1710285408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NICKLAUS WAY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447727",
            "telephone_number": "724-265-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NICKLAUS WAY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447727",
            "telephone_number": "724-265-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FOO TACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD034770L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Jean Laird, MOT, OTR/L
• Patricia L Lance, PTA
• Matthew D. Laneve, D.D.S
• Lisa Larue, MA, CCC-SLP
• Desiree N Lawrence, OT/R
• Gary Louis Lemoncelli, MD
• Let'S Talk Speech and Language Therapy, LLC.
• Megan Lloyd
• Bridgette Maria Loiselle, OTR/L
• Tori Sophia Lorenz, SLP

• Obstetrics & Gynecology Physician in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.