Anita C Lee, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-101027 Issued in IL

Practice address

2427 Maloney Dr
Bloomington, IL 61704-3750

Phone

(309) 663-1011

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anita T. Cheng Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Illinois Pediatric Associates LLC

  • Primary Care Clinic/Center
  • Bloomington, IL
  • NPI 1174706816
  NPD (past)
• Dennis Lee MD LTD

  • Otolaryngology Physician
  • Bloomington, IL
  • NPI 1447388772
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Siu Physicians & Surgeons, Inc

  dba SIU HealthCare

  • Endocrinology, Diabetes & Metabolism Physician
  • Springfield, IL
  • NPI 1558385989
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1861553240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STONEY CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042743",
            "telephone_number": "309-662-5066",
            "fax_number": "309-662-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 MALONEY DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043750",
            "telephone_number": "309-663-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANITA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-101027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-101027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "CHENG",
            "middle_name": "T.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin J Leak, M.D.
• Learning for Tomorrow
• Stormie Leathers, DPT
• Sydney M Ledbetter
• Amber Deshea Lee, CST/CFA
• Dennis Lee, M.D.
• Ji P Lee, MD
• Karen M Lee, LCPC
• Bobby Joe Leebold, L.C.S.W.
• Bobbie JH Leeds

• Pediatrics Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.