Organization Active NPI

Kong Wing Lee MD PLLC

  • Medical Specialty Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1962587642
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
22966 Issued in OK
Legal business name
KONG WING LEE MD PLLC
Practice address
1119 NW 25TH St
Oklahoma City, OK 73106-5646
Phone
(405) 528-3888
Fax
(405) 528-3885
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Kong Wing Lee, M.D.NPI 1487613170
Title
Medical Doctor
Phone
(405) 528-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 22966 OK Primary

Addresses

Primary practice location

1119 NW 25TH St
Oklahoma City, OK 73106-5646

Mailing address

PO Box 3802
Edmond, OK 73083-3802
Phone (405) 528-3888

Other names 1

  • LEE MEDICAL CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1046514Lee Medical Clinic1119 NW 25TH Street, Oklahoma City, OK 73106Provider-performed microscopyOct 11, 2027

National Provider Directory

National Provider Directory

Locations

1119 NW 25th St
Oklahoma City, OK 73106
Phone (405) 528-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1962587642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3802",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833802",
            "telephone_number": "405-528-3888",
            "fax_number": "405-528-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 NW 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065646",
            "telephone_number": "405-528-3888",
            "fax_number": "405-528-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONG WING LEE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KONG",
        "authorized_official_middle_name": "WING",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "405-528-3888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "22966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.