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Deactivated NPI 1336256874 Deactivated / Inactive NPI Male Practitioner

Dr. Jong Man Lee , MD

Otolaryngology • Beloit, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jong Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2006
NPI Deactivation Date December 06, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jong Lee, MD was a registered Otolaryngology practicing in Beloit, WI. Throughout an active medical career spanning 17 years, Dr. Lee provided care at the practice location at 1905 E. HUEBBE PARKWAY until profile deactivation on 2023-12-06.

Practice Location & Contact Primary Location

Practice Address

1905 E. Huebbe Parkway
Beloit Health System Inc.

Beloit, WI 535111842

Telephone 6083642200
Fax 6083637376
Associated Practice Facility / Clinic
🏢 Beloit Health System Inc Facility NPI 1679616361

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Beloit, WI (247 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

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License WI 23806020

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Judith Warnke , OT

Occupational Therapist

NPI 1063733087

Occupational Therapist

Cindy Damon , APNP

Nurse Practitioner

NPI 1073628269

Advanced Practice Nurse Prescriber

NPI 1083622021

Doctor of Medicine (M.D.)

Joanne Pickett , 225X00000X

Occupational Therapist

NPI 1093036022
NPI 1174531834

Doctor of Optometry

Kelsey Beaumont

Physician Assistant - Medical

NPI 1184581951

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 06, 2023

Record deactivated on December 06, 2023

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2011

Registered at 1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 535111842 (Tel: 6083642200)

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Updated Business Mailing Address October 19, 2011

Registered at 1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 535111842 (Tel: 6083642200)

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Provider Name / Credentials Updated October 19, 2011

Recorded as JONG LEE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Otolaryngology (License #23806020 in WI)

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Initial NPI Registration & Enumeration August 23, 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: 1336256874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: October 19, 2011
Deactivation Date: December 06, 2023

Mailing Address

1905 E. Huebbe Parkway, Beloit Health System Inc.

Beloit, WI 535111842

Phone: 6083642200

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.