Fred Doeleong Lee, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

NV5204 Issued in NV

Practice address

400 Shadow LN
Suite 207
Las Vegas, NV 89106-4363

Phone

(702) 384-5400

Fax

(702) 384-0648

NPI assigned

Nov 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Sunrise Physician Services LLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1518931385
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1790767895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N RAMPART BLVD",
            "address_2": "338",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287640",
            "telephone_number": "702-733-6263",
            "fax_number": "702-733-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-384-5400",
            "fax_number": "702-384-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FRED",
        "middle_name": "DOELEONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "NV5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002733",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eun Sung Lee
• Eunice Young Lee, PHARMD
• Franco Margate Lee, MD
• Frank Cheng-CHI Lee, DO
• Frank Fang-Chung Lee, DO
• Fred Thomas Junfei Lee, MD
• Ga Geong Lee, M.D.
• Gabriel Lee
• Garam Lee, PHARMD, RPH
• Gary Kai-Chung Lee, MD

• Obstetrics & Gynecology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.