Active NPI
Suzanne Lee, M.D.
- Family Medicine Physician
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8088255-1205
- Practice address
- 980 S 500 W Ste 1
Brigham City, UT 84302-3094 - Phone
- (435) 723-8276
- Fax
- (877) 497-4661
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-10750 | ID | |
| Family Medicine Physician | 207Q00000X | 8088255-1205 | UT | Primary |
Addresses
Primary practice location
980 S 500 W Ste 1
Brigham City, UT 84302-3094
Mailing address
2621 S 3270 W Ste 110
West Valley City, UT 84119-1119
Phone (385) 261-2614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 W 600
Tremonton, UT 84337-2400
Phone (844) 248-4110
980 S 500
Brigham City, UT 84302-3094
Phone (435) 723-8276
Hospital & facility affiliations
- Brigham City Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10750 | ID | MD | Family Medicine Physician |
| 8088255-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Community Health Centers, Inc. | Family Medicine | Past | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Past | Accepting new patients |
Locations
980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405
2621 S 3270 W
Ste 110
West Valley City, UT 84119
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
Interoperability endpoints
- suzanne.lee@chcsl.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Tremonton, UT
- NPI 1477979896
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Brigham City, UT
- NPI 1205932373
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Taylorsville, UT
- NPI 1801992953
Family Medicine
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1962660969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 S 3270 W STE 110",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841191119",
"telephone_number": "385-261-2614",
"fax_number": "877-497-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 S 500 W STE 1",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023094",
"telephone_number": "435-723-8276",
"fax_number": "877-497-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-10750",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8088255-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.