Active NPI
Herbert M Lee, DPM
- Podiatrist
- Glendale, AZ
National Provider Identifier
1740260116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0263
- Practice address
- 5891 W Eugie Ave
Glendale, AZ 85304-1252 - Phone
- (602) 588-6600
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0263 | AZ | Primary |
Addresses
Primary practice location
5891 W Eugie Ave
Glendale, AZ 85304-1252
Mailing address
5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone (602) 588-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173138 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0263 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740260116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5891 W EUGIE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041252",
"telephone_number": "602-588-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5891 W EUGIE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041252",
"telephone_number": "602-588-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HERBERT",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173138",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.