Dr. Sam M Lee

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Dr. Sam M Lee basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Sam M Lee
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Sam M Lee address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 512-3 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1479
Fax Number :	804-828-8517

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1275637654
NPI Entity Type :	Individual
First Enrolment Date :	07 Sep, 2006
Last Updated On :	08 Jan, 2021

Medicare Participation:

Dr. Sam M Lee participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4587697461
Medicare Enrollment ID :	I20190624001935
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Medical College Of Georgia School Of Medicine
Graduation Year :	1998
Accepts Medicare?	Yes. Dr. Sam M Lee accepts medicare insurance.

Group Practice Association:

Dr. Sam M Lee is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Sam M Lee is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sam M Lee are as mentioned. Primary taxonomy code for Dr. Sam M Lee, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	0101238427	VA
2080P0202X	Pediatrics Pediatric Cardiology	No	0101238427	VA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	E-12039	AR

Legacy Identifiers:

Other legacy medical identifiers of Dr. Sam M Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
234430001	MEDICAID	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 512-3 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1479
Fax Number :	501-364-3667

Business Location:

Patients can refer following map for directions to Dr. Sam M Lee practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.