NPIMap

Organization Active NPI

Department of Veteran Affairs

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1891805735
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A31005 Issued in CA
Legal business name
DEPARTMENT OF VETERAN AFFAIRS
Practice address
650 E Indian School Road
Phoenix, AZ 85012-1892
Phone
(602) 277-5551
Fax
(602) 212-2192
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Ming Der Lee, M.D
Title
Staff Physician
Phone
(602) 277-5551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X A31005 CA Primary
General Acute Care Hospital 282N00000X A-31005 CA

Addresses

Primary practice location

650 E Indian School Road
Phoenix, AZ 85012-1892

Mailing address

650 E Indian School Road
Phoenix, AZ 85012-1892
Phone (602) 277-5551

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1891805735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121892",
            "telephone_number": "602-277-5551",
            "fax_number": "602-212-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121892",
            "telephone_number": "602-277-5551",
            "fax_number": "602-212-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MING",
        "authorized_official_middle_name": "DER",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "602-277-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A31005",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A-31005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.