David Yim Lee, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD157511 Issued in OR

Practice address

324 4TH St
Myrtle Point, OR 97458-1066

Phone

(541) 572-2111

Fax

(541) 572-5743

NPI assigned

Jul 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
• Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlee@santiam.securechart.com

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.

• Santiam Memorial Hospital

  • General Acute Care Hospital
  • Stayton, OR
  • NPI 1154302214
  Medicare reassignment Care Compare group
• North Bend Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Coos Bay, OR
  • NPI 1407812365
  Medicare reassignment NPD
• Lewis County Hospital District No 1

  • Critical Access Hospital
  • Morton, WA
  • NPI 1154361814
  Medicare reassignment NPD
• Lewis County Hospital District No. 1

  • Emergency Medicine Physician
  • Morton, WA
  • NPI 1205882909
  Medicare reassignment NPD
• Santiam Memorial Hospital

  • Primary Care Clinic/Center
  • Sublimity, OR
  • NPI 1225225709
  NPD
• Lewis County Hospital District No. 1

  • Rural Health Clinic/Center
  • Packwood, WA
  • NPI 1497466494

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Santiam Memorial Hospital

  • General Acute Care Hospital
  • Stayton, OR
  • NPI 1154302214
  Care Compare affiliation
• Santiam Memorial Hospital

  • Ambulance
  • Stayton, OR
  • NPI 1962566752

  Hospital

  Care Compare affiliation
• Lewis County Hospital District No 1

  • Critical Access Hospital
  • Morton, WA
  • NPI 1154361814
  Care Compare affiliation

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1912135690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 4TH ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581066",
            "telephone_number": "541-572-2111",
            "fax_number": "541-572-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 4TH ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581066",
            "telephone_number": "541-572-2111",
            "fax_number": "541-572-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "YIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD157511",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD157511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP-NORTH BEND MEDICAL CENTER MEDICAID #",
            "identifier": "161133",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP-NORTH BEND MEDICAL CENTER MEDICARE #",
            "identifier": "R0000WFBTV",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648523",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP-NORTH BEND MEDICAL CENTER NPI",
            "identifier": "1407812365",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP-NORTH BEND MEDICAL CENTER TAX ID FOR BILLING",
            "identifier": "93-0635514",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Ehrlich
• Ana Marie Ferguson, FNP-C
• Mary Lou Freitag
• James Robert Gronemyer, DDS
• Edmund Reed Gurney Jr., MD
• Myrtle Point of Cascadia, LLC
• New Creations LLC 1111
• Kyle O'Hara
• Kaylie Marie Parrish
• Michelle L Petersen, RPH

• Family Medicine Physician in Myrtle Point, OR
• Providers in Myrtle Point, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.