T Thomas Lee MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35100036 Issued in OH

Legal business name

T THOMAS LEE MD INC

Practice address

658 West Market St
Ste 200
Lima, OH 45801-4563

Phone

(419) 227-5176

NPI assigned

Dec 14, 2005

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tae-Ahn Thomas Lee, MDNPI 1710967435

Title

MD

Phone

(419) 227-5176

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tae Ahn Thomas Lee, MD

  • Psychiatry Physician
  • Lima, OH
  • NPI 1710967435
  NPD (past) Authorized official

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1750366530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 WEST MARKET ST",
            "address_2": "STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014563",
            "telephone_number": "419-227-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WEST MARKET ST",
            "address_2": "STE 200",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014563",
            "telephone_number": "419-227-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T THOMAS LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAE-AHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "419-227-5176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A33710",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35100036",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35100036",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A33710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "T9176401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Amjad Sweidan, OD
• Heather Swinehart
• Matthew Sylvia
• Aurora Szablewski
• Gerald Szelagowski, MD
• Mahmmoud Tabbaa, DDS
• Emmanuel Juane Tabora, M.D.
• Abdulla Taja, MD
• Rola Taja, RPH
• Jessica L Talbott, LPN

• Psychiatry Physician in Lima, OH
• Providers in Lima, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.