Physician Compare National (NPI:1013396530)

HEALTHCARE PROVIDER: JOHN PHILLIP LEE D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013396530
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941515456
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190712000852
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEE
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PATHOLOGY ASSOCIATES OF MASON CITY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0648161067
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 4TH ST SW
	Group Practice or individual's line 1 address
City	MASON CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	504012800
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6414287488
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF IOWA HOSPITAL & CLINICS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160064
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER-NORTH IOWA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y