Active NPI
Jonathan Edward Lee, MD
- Anesthesiology Physician
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E-4718
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 327-6665
- Fax
- (501) 730-0289
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-4718 | AR | Primary |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
2425 Prince St Ste 4
Conway, AR 72034-3701
Phone (501) 327-6665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070808000068 | AR | Practitioner - Anesthesiology | 1254422090 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Arkansas College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Anesthesiology Consultants, PA
Practice addresses (Care Compare)
2302 College Ave
Conway, AR 72034-6297
Phone (501) 327-6665
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4718 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Anesthesiology Consultants, P.a. | Anesthesiology | Current | Accepting new patients |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Conway Regional Medical Center, Inc. | Current | Accepting new patients | |
| Conway Regional Medical Center, Inc | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Past | Accepting new patients |
Locations
525 Western Ave
Ste 304
Conway, AR 72034
Phone (501) 327-7555
2425 Prince St
Ste 4
Conway, AR 72034
Phone (501) 327-6665
2302 College Ave
Conway, AR 72034
Phone (501) 329-3831
2200 Ada Ave
Ste 301
Conway, AR 72034
Phone (501) 358-6560
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Conway, AR
- NPI 1568423820
Anesthesiology, AR
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Conway, AR
- NPI 1730601451
AR
-
- Family Medicine Physician
- Conway, AR
- NPI 1043183544
-
- Pain Clinic/Center
- Conway, AR
- NPI 1942713987
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1992924203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 PRINCE ST STE 4",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343701",
"telephone_number": "501-327-6665",
"fax_number": "501-730-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346297",
"telephone_number": "501-327-6665",
"fax_number": "501-730-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONATHAN",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-4718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.