Active NPI
Allen B. Lee, DO
- Family Medicine Physician
- Sacaton, AZ
National Provider Identifier
1760649321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005174
- Practice address
- 483 Seed Farm Rd.
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1200
- Fax
- (602) 528-1255
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 005174 | AZ | Primary |
Addresses
Primary practice location
483 Seed Farm Rd.
Sacaton, AZ 85147-0038
Mailing address
410 N Malacate St
Ajo, AZ 85321-2254
Phone (520) 387-5651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005174 | Other | AZ | ARIZONA STATE LICENSE |
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
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1760649321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N MALACATE ST",
"city": "AJO",
"state": "AZ",
"postal_code": "853212254",
"telephone_number": "520-387-5651",
"fax_number": "520-387-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 SEED FARM RD.",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470038",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALLEN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "005174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE LICENSE",
"identifier": "005174",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.