Active NPI
Charles Lee M.D.
- Ambulatory Surgical Clinic/Center
- Huntsville, AL
National Provider Identifier
1902051592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 14864
- Legal business name
- CHARLES LEE M.D.
- Doing business as
- Whitesburg Podiatry
- Practice address
- 115 Queensbury Dr SW
Huntsville, AL 35802-1501 - Phone
- (256) 880-0222
- NPI assigned
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennie Franklin
- Title
- Office Manager
- Phone
- (256) 880-0222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14864 | AL | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 14864 | AL | Primary |
Addresses
Primary practice location
115 Queensbury Dr SW
Huntsville, AL 35802-1501
Mailing address
1212 Deborah Dr SE
Huntsville, AL 35801-1413
Phone (256) 990-7867
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51523698 | Other | AL | BCBS MADISON SURGICAL CENTER |
| 51024029 | Other | AL | BCBS HH LOCATIONS |
| 51019925 | Other | AL | BLUE CROSS OF ALABAMA |
| 51024029 | Other | AL | WHITESBURG PODIATRY LOCATION |
Other names 1
- Whitesburg Podiatry
National Provider Directory
National Provider Directory- Tax ID family
- Charles Lee MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1194704742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1902051592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 DEBORAH DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358011413",
"telephone_number": "256-990-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 QUEENSBURY DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021501",
"telephone_number": "256-880-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES LEE M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "FRANKLIN",
"authorized_official_first_name": "JENNIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-880-0222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "14864",
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AL",
"license": "14864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MADISON SURGICAL CENTER",
"identifier": "51523698",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HH LOCATIONS",
"identifier": "51024029",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "51019925",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WHITESBURG PODIATRY LOCATION",
"identifier": "51024029",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Whitesburg Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.