Individual provider Active NPI

Ho Woon Lee, MD

  • Surgery Physician
  • Spokane, WA
National Provider Identifier
1871537001
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60999385 Issued in WA
Practice address
32 W 2ND Ave
Spokane, WA 99201-3602
Phone
(509) 626-9825
NPI assigned
Jun 16, 2006
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 123597 NY
Surgery Physician 208600000X MD60999385 WA Primary

Addresses

Primary practice location

32 W 2ND Ave
Spokane, WA 99201-3602

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 626-9825

Other identifiers 3

IdentifierTypeStateIssuer
161029004OtherNYGROUP TAX ID
00767533MedicaidNY
34808AOtherNYGROUP MEDCARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000165 NY Practitioner - General SurgeryPractitioner - Thoracic Surgery 1254410178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123597NYMDSocial Worker
MD60999385WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cortland ASC, LLC CurrentSince Apr 1, 2016 Accepting new patients
Cortland Surgical Associates,P.C. Surgery PastSince Apr 4, 1974 Accepting new patients
Regional Medical Practice, PC Surgery Past Accepting new patients

Locations

64 Pomeroy St
Cortland, NY 13045
Phone (607) 662-4521

64 Pomeroy St
#B
Cortland, NY 13045
Phone (607) 753-6560

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1871537001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-626-9825",
            "fax_number": "509-626-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013602",
            "telephone_number": "509-626-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HO WOON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "123597",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60999385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "161029004",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767533",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDCARE ID",
            "identifier": "34808A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.