Individual provider Active NPI

Wendy N Lee, DO

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1992798953
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
008944 Issued in AZ
Practice address
6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone
(602) 978-1500
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02901 KY
Obstetrics & Gynecology Physician 207V00000X 008944 AZ Primary

Addresses

Primary practice location

6678 W Thunderbird Rd
Glendale, AZ 85306-3721

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

910 Wallace Ave Ste 302
Leitchfield, KY 42754-2418
Phone (270) 259-2700

Other identifiers 1

IdentifierTypeStateIssuer
64103591MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210408002732 AZ Practitioner - Obstetrics/Gynecology 7719915412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008944AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Desert West Obstetrics & Gynecology LTD Obstetrics & Gynecology CurrentSince May 1, 2021 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Wendy N Lee Medical Offices PLLC Obstetrics & Gynecology PastSince Aug 3, 2005 Accepting new patients

Locations

6678 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 678-1500

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

7787 W Deer Valley Rd
Ste 296
Peoria, AZ 85382
Phone (602) 978-1500

33423 N 32nd Ave
Ste 3200
Phoenix, AZ 85085
Phone (602) 978-1500

9305 W Thomas Rd
Ste 550
Phoenix, AZ 85037
Phone (602) 978-1500

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wendy.lee.p1@direct.dwobgyn.nextgenshare.com
  • Direct secure messaging: wendy.lee.1@19050.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1992798953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542418",
            "country_code": "US",
            "telephone_number": "270-259-2700",
            "fax_number": "270-259-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WENDY",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02901",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "008944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64103591",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.