Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JAE KYU LEE M.D.
NPI 1902894694
Specialist in Ashland, OH

Active since October 07, 2005
1320 COACHMAN CT, ASHLAND, OH 44805(419) 289-1151(419) 281-8767 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jae Kyu Lee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE KYU LEE M.D. (NPI 1902894694) is an individual specialist in Ashland, Ohio, licensed in Ohio (35037115) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1902894694
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAE KYU LEECredential: M.D.
Location Address1320 COACHMAN CTAshland, OH 44805-4443
Mailing Address1320 Coachman CtAshland, OH 44805-4443 · (419) 289-1151 · Fax (419) 281-8767
Fax(419) 281-8767
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1902894694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35037115
Definition

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.

1320 COACHMAN CT, Ashland, OH 44805

Other Identifiers 1

Medicaid0441258OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Lee's NPI number?

The NPI number for Jae Lee is 1902894694. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Jae Lee located?

Jae Lee practices at 1320 Coachman Ct, Ashland, OH 44805. The listed phone number is (419) 289-1151.

What is Jae Lee's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jae Lee was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.