Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902894694 Individual Practitioner Male Practitioner

Dr. Jae Kyu Lee , MD

Specialist • Ashland, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jae Lee, MD is a registered healthcare professional specializing in Specialist in Ashland, OH. Practice services are available at 1320 COACHMAN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1320 Coachman Ct

Ashland, OH 448054443

Telephone 4192891151
Fax 4192818767

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ashland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Ashland, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35037115

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0441258 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ernest Hetrick , MD

Radiology - Diagnostic Radiology

NPI 1225180631

Doctor of Medicine (M.D.)

Dr. John Huddle , DO

Radiology - Diagnostic Radiology

NPI 1265429559

Doctor of Osteopathic Medicine (D.O.)

Dr. Keunsun Lew , MD

Radiology - Diagnostic Radiology

NPI 1700873098

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1320 COACHMAN CT, ASHLAND, OH 448054443 (Tel: 4192891151)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1320 COACHMAN CT, ASHLAND, OH 448054443 (Tel: 4192891151)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAE LEE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #35037115 in OH)

🟢
Initial NPI Registration & Enumeration October 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902894694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1320 Coachman Ct

Ashland, OH 448054443

Phone: 4192891151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.