Michael A Lee (NPI# 1124020193, PAC ID# 6608763354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124020193 |
| PAC ID by PECOS | 6608763354 |
| Professional Enrollment ID | I20050316000062 |
| Full Name | Michael A Lee |
| Organization Legal Name | MY FAMILY HEALTHCARE, LLC |
| Address |
1708 Delivery Ln Durant OK 74701-2292 |
| Phone Number | 5809245622 |
| Gender | M |
| Credential | DO |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709187628 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370014 | ALLIANCEHEALTH DURANT |
| 450324 | TEXOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1708 Delivery Ln, Durant, OK 74701-2292 | 5809245622 | MY FAMILY HEALTHCARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MY FAMILY HEALTHCARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Nelson | Nurse Practitioner | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Brian S Lee | Family Medicine | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Kennedy B Decker-walters | Nurse Practitioner | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Street Address |
1708 DELIVERY LN |
| City | DURANT |
| State | OK |
| Zip | 74701-2292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Nelson | Nurse Practitioner | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Brian S Lee | Family Medicine | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Kennedy B Decker-walters | Nurse Practitioner | My Family Healthcare, LLC | 1708 Delivery Ln, Durant, OK 74701-2292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather D Marcum | Nurse Practitioner | Family Care Center of Durant PC | 2149 Ed F Davis Rd, Durant, OK 74701-1053 |
| Robert Wolff | Chiropractic | 2150 Ed F Davis Rd, Durant, OK 74701-1053 | |
| Kristy M Smothers | Nurse Practitioner | Family Care Center of Durant PC | 2149 Ed F Davis Rd, Durant, OK 74701-1053 |
| Kip J Francis | Chiropractic | 1705 N Washington Ave, Suite B, Durant, OK 74701-2100 | |
| Janna Marie Cottingame | Chiropractic | 1259 N Washington Ave, Durant, OK 74701-2119 | |
| Jeffery L Cottingame | Chiropractic | Total Health and Wellness Center Inc | 1259 N Washington Ave, Durant, OK 74701-2119 |
| Roy Edward Lehman | Ophthalmology | Rgb Eye Associates Pa | 1501 N Washington Ave, Durant, OK 74701-2127 |
| Janee M Standifer | Qualified Speech Language Pathologist | 1317 N 16th Ave, The Spot 1212, Durant, OK 74701-2134 | |
| Rafael A Ortiz-colberg | Plastic and Reconstructive Surgery | Healogics Specialty Physicians of Oklahoma Pllc | 1400 Bryan Dr, Suite 205, Durant, OK 74701-2141 |
| Sandy George | Internal Medicine | Healogics Specialty Physicians of Oklahoma Pllc | 1400 Bryan Dr, Suite 205, Durant, OK 74701-2141 |
| Find all physicians in zip 74701 | |||
| City | DURANT |
| Zip Code | 74701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DURANT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael A Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.