Dr. Samuel Theodore Lee
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Samuel Theodore Lee, M.D. is a Green Bay, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Samuel Theodore Lee is
2845 Greenbrier Rd, Green Bay, Wisconsin - 54311-6519. He can be contacted on phone at
920-288-8000.
Dr. Samuel Theodore Lee is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel Theodore Lee is
1184989436 which was assigned by NPPES on 11 Jul, 2012 and it was last updated on 05 Dec, 2022.
Dr. Samuel Theodore Lee license number is
22495 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in Wisconsin.
Dr. Samuel Theodore Lee is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Samuel Theodore Lee basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Dr. Samuel Theodore Lee |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Samuel Theodore 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 : | 2845 Greenbrier Rd
Green Bay, WI, 54311-6519
United States |
|---|
| Phone Number : | 920-288-8000 |
|---|
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 : | 1184989436 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Jul, 2012 |
|---|
| Last Updated On : | 05 Dec, 2022 |
|---|
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. Samuel Theodore Lee are as mentioned. Primary taxonomy code for Dr. Samuel Theodore Lee, M.D. is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 125.061701 | IL |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 2015016128 | MO |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | 22495 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel Theodore Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100203539 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
530 NE GLEN OAK AVE,
PEORIA, IL, 61637-0001
United States | PEORIA, IL | 309-655-2274 |
4401 WORNALL RD STE 2708,
KANSAS CITY, MO, 64111-3220
United States | KANSAS CITY, MO | 816-932-2493 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | slee341434@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 2845 Greenbrier Rd,
Green Bay, WI, 54311-6519
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 2845 Greenbrier Rd,
Green Bay, WI, 54311-6519
United States |
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 : | 3301 W Forest Home Ave
Milwaukee, WI, 53215-2843
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Samuel Theodore 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. Last updated on 08 January, 2024.