Active NPI
Lee Maitland Mabee Jr., MD
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
National Provider Identifier
1932183753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2481
- Practice address
- 1115 E 20TH St
Sioux Falls, SD 57105-1013 - Phone
- (605) 399-1783
- Fax
- (605) 367-7157
- NPI assigned
- Dec 5, 2005
- Last updated
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2481 | SD | Primary |
Addresses
Primary practice location
1115 E 20TH St
Sioux Falls, SD 57105-1013
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 399-1783
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932183753 | Medicaid | IA | |
| 0009398 | Other | WELLMARK | |
| 228834 | Other | MIDLANDS CHOICE | |
| 6200392 | Medicaid | SD | |
| 22232 | Other | SIOUX VALLEY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2481 | SD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Avera Lee Mabee OB/GYN
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1629052451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1932183753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-399-1783",
"fax_number": "605-367-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051013",
"telephone_number": "605-399-1783",
"fax_number": "605-367-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABEE",
"first_name": "LEE",
"middle_name": "MAITLAND",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SD",
"license": "2481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932183753",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "0009398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "228834",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6200392",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "22232",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.