San Tan Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN TAN FAMILY MEDICINE PC

Practice address

2680 S Val Vista Dr Ste 114
Gilbert, AZ 85295-1606

Phone

(480) 722-0252

Fax

(480) 722-0253

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Lee, MDNPI 1952332587

Title

Owner

Phone

(480) 722-0252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RONALD J LEE MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICBJBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald J Lee, MD

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1952332587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1871500512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "480-722-0252",
            "fax_number": "480-722-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "480-722-0252",
            "fax_number": "480-722-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-722-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974271",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RONALD J LEE MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Tan Behavioral Health Services
• San Tan Behavioral Health Services LLC
• San Tan Dental Group, LLP
• San Tan Eye Care PLC
• San Tan Eyecare PLC
• San Tan Mountain Pediatrics PLC
• San Tan Oral Surgery
• San Tan Perinatal
• San Tan Ranch Smiles LLC
• San Tan Village Eye Care LLC

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.