Jonathan H Lee
Otolaryngology

Address: 1170 Royal Ave, Medford, OR 97504-6101
Phone: 5417797331

Jonathan H Lee (NPI# 1265410211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265410211
Entity Type Individual
Full Name Jonathan H Lee
Credential M.D.
Gender Male
Practice Address 1170 Royal Ave
Medford
OR 97504-6101
Practice Telephone 5417797331
Mailing Address 1170 Royal Ave
Medford
OR 97504-6101
Mailing Telephone 5417797331
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-09
Last Update Date 2012-03-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians MD26131 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 026815 MEDICAID
OR 040017229 OTHER RAILROAD MEDICARE

Other Providers JONATHAN LEE

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1487127858 Jonathan Chia-ho Lee Psychiatry & Neurology Ucla Department of Psychiatry and Biobehavioral Science, 760 Westwood Plaza, Los Angeles, CA 90024 2019-01-08
1770090128 Jonathan Gene Lee Nurse Practitioner 8692 9th St Unit 24, Rancho Cucamonga, CA 91730-0809 2018-01-08
1033628490 Jonathan Lee Pharmacist 7211 Gilmour Ct, Sacramento, CA 95828-2218 2017-09-28
1174057657 Jonathan Lee Specialist/Technologist 1310 W A St, 102, Moscow, ID 83843-4035 2017-04-12
1003352097 Jonathan Lee Physical Therapist 4387 Kelson Ave Apt A, Marianna, FL 32446 2017-01-13
1134574460 Jonathan Lee Neurological Surgery 6565 Fannin St # R2-216, Houston, TX 77030-2703 2016-04-23
1174861728 Jonathan Lee Specialist 1720 S Bellaire St Ste 905, Denver, CO 80222-4333 2013-01-16
1306135124 Jonathan Shing-jih Lee Internal Medicine 1545 Divisadero St Fl 2, San Francisco, CA 94143-3400 2011-04-01
1508182296 Jonathan Y Lee Plastic Surgery 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 2010-04-20
1902121213 Jonathan Lee Dentist 2880 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2644 2010-03-30

Physician Overview

NPI 1265410211
PAC ID by PECOS 4880662915
Professional Enrollment ID I20060830000134
Full Name Jonathan H Lee
Organization Legal Name MEDFORD EAR NOSE AND THROAT CLINIC PC
Phone Number 5417797331
Gender M
Credential MD
Medical School MAYO MEDICAL SCHOOL
Graduation Year 2001
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 1355338013
Number of Group Practice Members 8
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380018 ASANTE ROGUE REGIONAL MEDICAL CENTER
380075 PROVIDENCE MEDFORD MEDICAL CENTER

Office Location

Street Address 1170 ROYAL AVE
City MEDFORD
State OR
Zip Code 97504-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669779096 Amanda Omielam Meyers Audiologist 1170 Royal Ave, Medford, OR 97504-6101 2011-02-21
1164586939 Jeffrey P Rice Audiologist-Hearing Aid Fitter 1170 Royal Ave, Medford, OR 97504-6101 2006-12-19
1669490546 Medford Ear Nose and Throat Clinic PC Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-18
1952327280 Elizabeth H Steele Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1972529212 Jay B Reeck Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1619993953 David W Chambers Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1194741439 Sean J Traynor Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902374531 Columbacare Services Clinic/Center 3200 Juanipero Way, Medford, OR 97504 2018-11-13
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
1386002897 Robert Woodhouse Counselor 1025 East Main Street, Medford, OR 97504 2016-01-29
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598839821 Harold Gregory Ota Otolaryngology 101 Main St, Suite 216, Medford, MA 02155-4540 2006-11-20
1669490546 Medford Ear Nose and Throat Clinic PC Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-18
1952327280 Elizabeth H Steele Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1972529212 Jay B Reeck Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1619993953 David W Chambers Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1194741439 Sean J Traynor Otolaryngology 1170 Royal Ave, Medford, OR 97504-6101 2006-07-13
1194716308 David Marsh Bowling Otolaryngology 101 Main St, Suite 211, Medford, MA 02155-4540 2005-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1104289933 Ci An Gerald Tay Otolaryngology 3181 Sw Sam Jackson Park Rd, Pv01, Portland, OR 97239 2016-03-30
1558604934 Elizabeth Schimmel Otolaryngology 2222 Nw Lovejoy St Ste 622, Portland, OR 97210 2013-04-03
1932441185 William Edward Karle Otolaryngology 3303 Sw Bond Ave Ste 15, Portland, OR 97239 2013-03-25
1013286822 Lawrence Thomas Eschelman Otolaryngology 3585 Cherokee Dr S, Salem, OR 97302-9712 2011-12-22
1063702835 Brian Jacob Stater Otolaryngology 9155 Sw Barnes Rd Ste 536, Portland, OR 97225-6785 2011-04-14
1962708578 John A Lindgren, Md PC Otolaryngology 9155 Sw Barnes Rd Ste 401, Portland, OR 97225-6631 2011-01-28
1558674861 Lucas Rein Rudmik Otolaryngology 3720 Sw Bond Ave Unit 2210, Portland, OR 97239-4577 2010-07-16
1811164262 Carrie Maiorana Brown Otolaryngology 24076 Se Stark St Ste 230, Gresham, OR 97030 2008-05-14
1114193448 Ryan Jeffrey Li Otolaryngology 3181 Sw Sam Jackson Park Rd # 01, Portland, OR 97239-3011 2008-05-06
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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