Robert Gary Lee, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

RL208675 Issued in MI

Practice address

200 S Wenona St
Suite G-96
Bay City, MI 48706-8820

Phone

(989) 894-2949

Fax

(989) 894-5848

NPI assigned

Dec 12, 2006

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 names 1

• Mr. Robert Gary Lee Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Robert G Lee P C

  • MOHS-Micrographic Surgery Physician
  • Bay City, MI
  • NPI 1699003699

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801957915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE G-96",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-894-2949",
            "fax_number": "989-894-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE G-96",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-894-2949",
            "fax_number": "989-894-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "RL208675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LEE",
            "middle_name": "GARY",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Chantell Ledesma
• Lee Newton Inc
• Amy Lee-Drayer, BCBA
• Aaron James Lee
• Elizabeth Lee, DC
• Legacy Healthcare Services Inc
• Jennifer Leggett
• Ryleigh Anne Lehner
• Krista Leipprandt
• Michelle Lee Lelarocheur

• All providers in Bay City, MI
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.