NPI Code Detail JSON Logo

1801290994 NPI number — J. W. LEE, INC.

NPI Number: 1801290994
Health Care Provider/Practitioner: J. W. LEE, INC.

Information about “1801290994” NPI (J. W. LEE, INC.) exists in 1801290994 in HTML format HTML  |  1801290994 in plain Text format TXT  |  1801290994 in PDF (Portable Document Format) PDF  |  1801290994 in an XML format XML  formats.

NPI Number : 1801290994 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801290994",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "J. W. LEE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2935 THOUSAND OAKS",
    "SecondLineMailingAddress": "SUITE 294",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78247-3312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-494-1100",
    "MailingAddressFaxNumber": "210-494-1117",
    "FirstLinePracticeLocationAddress": "10500 MONTGOMERY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CINCINNATI",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45242",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-865-5050",
    "PracticeLocationAddressFaxNumber": "813-865-5050",
    "EnumerationDate": "10/17/2014",
    "LastUpdateDate": "07/23/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEE",
    "AuthorizedOfficialFirstName": "JI",
    "AuthorizedOfficialMiddleName": "WOO",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "513-865-5050",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": "35045945",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083P0011X",
          "TaxonomyName": "Undersea and Hyperbaric Medicine (Preventive Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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