Active NPI
Winner Lee, D.O.
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2529
- Practice address
- 2831 Business Park CT Ste 130a
Las Vegas, NV 89128-9007 - Phone
- (702) 844-4848
- Fax
- (702) 488-4849
- NPI assigned
- May 1, 2014
- Last updated
- Jan 30, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2529 | NV | Primary |
Addresses
Primary practice location
2831 Business Park CT Ste 130a
Las Vegas, NV 89128-9007
Mailing address
2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2831 Business Park CT
Suite a
Las Vegas, NV 89128-9007
Phone (702) 844-4848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bacchus PC | Multi-Specialty | Current | Accepting new patients |
| P3 Health Partners Professional Services PC | Multi-Specialty | Past | Accepting new patients |
Locations
100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841
1500 W Sunset Rd
Ste 100120
Henderson, NV 89014
Phone (702) 888-3126
2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950
880 Seven Hills Dr
Ste 140
Henderson, NV 89052
Phone (702) 844-4840
2831 Business Park Ct
Ste A
Las Vegas, NV 89128
Phone (702) 844-4848
4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000
360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810
Interoperability endpoints
- wlee966834@oc.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba P3 Health Partners Medical Group
- Family Medicine Physician
- Henderson, NV
- NPI 1134628480
Multi-Specialty
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1356817332
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1831509637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 BUSINESS PARK CT STE 130A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289007",
"telephone_number": "702-844-4848",
"fax_number": "702-488-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WINNER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.