Active NPI
Andrew M Lee, CSA
- Surgical Assistant
- Tulsa, OK
National Provider Identifier
1811423783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 172767
- Practice address
- 2717 E 93Rd St
Suite 303
Tulsa, OK 74137-4602 - Phone
- (918) 633-7914
- Fax
- (615) 346-9258
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 172767 | OK | Primary |
Addresses
Primary practice location
2717 E 93Rd St
Suite 303
Tulsa, OK 74137-4602
Mailing address
2717 E 93Rd St
Suite 303
Tulsa, OK 74137-4602
Phone (918) 633-7914
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172767 | OK | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1811423783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 E 93RD ST",
"address_2": "SUITE 303",
"city": "TULSA",
"state": "OK",
"postal_code": "741374602",
"telephone_number": "918-633-7914",
"fax_number": "615-346-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 E 93RD ST",
"address_2": "SUITE 303",
"city": "TULSA",
"state": "OK",
"postal_code": "741374602",
"telephone_number": "918-633-7914",
"fax_number": "615-346-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "OK",
"license": "172767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.