Lee J Secrist, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M7731 Issued in ID

Practice address

3754 S Brentwood LN
Coeur D Alene, ID 83814-7053

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Idaho Imaging Center

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
  • NPI 1457353450
  NPD (past)
• North Idaho MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Coeur D Alene, ID
  • NPI 1265425029
  NPD (past)
• Radiology Associates of North Idaho, PA

  • Radiology Clinic/Center
  • Coeur D Alene, ID
  • NPI 1851384416

  Diagnostic Radiology

  NPD (past)
• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)
• Virtual Radiologic Professionals, LLC

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1932342029
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1912909623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 S BRENTWOOD LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147053",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECRIST",
        "first_name": "LEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M7731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Diane Scott, M.ED, CRC, LPC
• Leah Scott
• Brady Levi Seaman, DC
• Melissa Ann Search
• Brittany Raeanne Sears, PA-C
• Robert Craig Seeley, M.D.
• Melinda Michelle Segraves
• Sensitive Mental Healthcare PLLC
• Sequel Alliance Family Services, LLC
• Serene Life Counseling LLC

• Diagnostic Radiology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.