Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669566303 Individual Practitioner Male Practitioner

Dr. Lee Everett Edstrom , MD

Plastic Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Lee Edstrom, MD is a registered healthcare professional specializing in Plastic Surgery in Providence, RI. Practice services are available at 2 DUDLEY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Dudley
Suite 460

Providence, RI 02905

Telephone 4013312303
Fax 4013314430

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Providence, RI (31 Statewide)

Telehealth Adoption Rate
4.0% 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

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License RI 5949

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Health
1300121 (RI)
Commercial Insurance / Payer ID Bluechip
300043 (RI)
Commercial Insurance / Payer ID Tax Id
050395339 (RI)

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 2 DUDLEY, SUITE 460, PROVIDENCE, RI 02905 (Tel: 4013312303)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2 DUDLEY, SUITE 460, PROVIDENCE, RI 02905 (Tel: 4013312303)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LEE EDSTROM, M.D.

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

Plastic Surgery (License #5949 in RI)

🟢
Initial NPI Registration & Enumeration October 03, 2006

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: 1669566303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

2 Dudley, Suite 460

Providence, RI 02905

Phone: 4013312303

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.