Organization Active NPI

Shawn K Lee MD PC

  • Pulmonary Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1740308147
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19842 Issued in OK
Legal business name
SHAWN K LEE MD PC
Practice address
4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366
Phone
(405) 755-4290
Fax
(405) 755-7773
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Pamela J Bankston
Title
Business Manager
Phone
(405) 755-7672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 19842 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Suite 208
Oklahoma City, OK 73120-8366
Phone (405) 755-4290

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherOKSOCIAL SECURITY #
100126510BMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1740308147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-4290",
            "fax_number": "405-755-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-4290",
            "fax_number": "405-755-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN K LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "405-755-7672",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "19842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY #",
            "identifier": "$$$$$$$$$",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126510B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.