Active NPI
Charles Churlmin Lee, MD
- Anesthesiology Physician
- Fort Meade, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0053060
- Practice address
- 1711 Livingston Rd
Fort Meade, MD 20744 - Phone
- (301) 317-0020
- Fax
- (301) 317-0028
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0053060 | MD | Primary |
Addresses
Primary practice location
1711 Livingston Rd
Fort Meade, MD 20744
Mailing address
PO Box 639
Laurel, MD 20725
Phone (301) 317-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053060 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles C Lee Anesthesia ,LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Virginia), LLC | Anesthesiology | Past | Accepting new patients |
Locations
6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144
11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250
12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296
9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
2960 Technology Pl
Ste 103
Waldorf, MD 20601
Phone (301) 632-6092
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 4
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.
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- NPI 1093707879
DC
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- Anesthesiology Physician
- Waldorf, MD
- NPI 1295199925
-
- Anesthesiology Physician
- Clinton, MD
- NPI 1891574059
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1821143538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "LAUREL",
"state": "MD",
"postal_code": "20725",
"telephone_number": "301-317-0020",
"fax_number": "301-317-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 LIVINGSTON RD",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-317-0020",
"fax_number": "301-317-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLES",
"middle_name": "CHURLMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0053060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.