Active NPI
J. W. Lee, Inc.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Cincinnati, OH
National Provider Identifier
1801290994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- J. W. LEE, INC.
- Practice address
- 10500 Montgomery Rd
Cincinnati, OH 45242 - Phone
- (513) 865-5050
- Fax
- (813) 865-5050
- NPI assigned
- Oct 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ji Woo Lee, M.D.
- Title
- President
- Phone
- (513) 865-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | 35045945 | OH |
Addresses
Primary practice location
10500 Montgomery Rd
Cincinnati, OH 45242
Mailing address
2935 Thousand Oaks
Suite 294
San Antonio, TX 78247-3312
Phone (210) 494-1100
Other practice location 1
10500 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 865-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720192990 | Other | NPI | |
| 0453790 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13467 Wetmore Rd
Ste 294
Wetmore, TX 78247
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Cincinnati, OH
- NPI 1720192990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563840000000",
"number": "1801290994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 THOUSAND OAKS",
"address_2": "SUITE 294",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473312",
"telephone_number": "210-494-1100",
"fax_number": "210-494-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-865-5050",
"fax_number": "813-865-5050"
}
],
"practiceLocations": [
{
"address_1": "10500 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45242",
"country_code": "US",
"telephone_number": "513-865-5050",
"fax_number": "813-865-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "J. W. LEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2019-07-23",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JI",
"authorized_official_middle_name": "WOO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-865-5050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OH",
"license": "35045945",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720192990",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0453790",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.