EDWARD SUNGWON LEE (NPI# 1033134267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033134267 |
| Entity Type | Individual |
| Full Name | EDWARD SUNGWON LEE |
| Credential | DO |
| Practice Address |
2902 164th St Sw Bldg E1 Lynnwood WA 98087-3201 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4257417750 |
| Practice Fax Number | 4256784680 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP60219951 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036109991 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP # | 834370 | 01 |
| IL | MEDICARE GROUP PTAN | 834340 | 01 |
| IL | MEDICARE PTAN | 834340022 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1700165495 | Edward Lee | Pharmacist | 216 West 72nd St, New York, NY 10023 | 2011-08-11 |
| 1083945968 | Edward Ilho Lee | Plastic Surgery | 546 Waugh Dr, Houston, TX 77019 | 2010-01-16 |
| 1679809206 | Edward Lee | Acupuncturist | 89 5th Ave Ste 305, New York, NY 10003-3020 | 2009-11-02 |
| 1669600326 | Edward Howe Lee | Internal Medicine | 106 South Dennis Rd, Cape May Court House, NJ 08210 | 2009-07-01 |
| 1235377664 | Edward Haniel Lee | Acupuncturist | 8780 Van Nuys Blvd Ste A, Panorama City, CA 91402-2453 | 2009-01-22 |
| 1215189550 | Edward Wolfgang Lee | Radiology | 757 Westwood Plz Ste 2125b, Los Angeles, CA 90095-8358 | 2008-10-17 |
| 1487866588 | Edward Wan-jae Lee | Ophthalmology | 5363 Balboa Blvd., Suite 545, Encino, CA 91316 | 2007-05-03 |
| 1124249214 | Edward Stanley Lee | Dentist | 2301 Vicente Street, San Francisco, CA 94116 | 2007-05-02 |
| Street Address |
2902 164TH ST SW BLDG E1 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770071490 | Ruby A Godina | Counselor | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2018-04-27 |
| 1609306257 | Diana Schar | Massage Therapist | 2902 164th St Sw, North Point Plaza, D1, Lynnwood, WA 98087 | 2017-06-15 |
| 1669912424 | Vi Valentine | Massage Therapist | 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 | 2017-02-27 |
| 1467828780 | Coleman Chern | Massage Therapist | 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 | 2015-08-20 |
| 1376936765 | Manuela Perkins | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2015-03-10 |
| 1730586041 | Kacey Turner | Massage Therapist | 2902 164th St Sw, D1, Lynnwood, WA 98087-3201 | 2014-12-02 |
| 1871839084 | Precision Family Vision, Pllc | Optometrist | 2902 164th St Sw, Suite G-2, Lynnwood, WA 98087-3201 | 2012-12-14 |
| 1851665079 | Heidi Bernhoft | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2012-03-06 |
| 1205100781 | Andrea S Giles | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2012-03-01 |
| 1437423043 | Diwakar Thapa | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2012-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144768151 | A2nk, Pllc | Family Medicine | 19230 Alderwood Mall Pkwy, Suite 120, Lynnwood, WA 98036-4869 | 2017-02-09 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1073528766 | Stanley D Borish | Family Medicine | 19526 64th W, Lynnwood, WA 98036-5100 | 2006-07-30 |
| 1194739987 | Tanya I Bryant | Family Medicine | 6101 200th St Sw, Ste 208, Lynnwood, WA 98036-6077 | 2006-07-28 |
| 1598792657 | Joseph O Aiyenowo | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2006-06-26 |
| 1073578704 | Casey Kwon Kim | Family Medicine | 18623 Highway 99, Ste 230, Lynnwood, WA 98037-4552 | 2006-04-18 |
| 1396711487 | Elisa Marie Frost Granger | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2006-02-27 |
| 1225027006 | Phyllis A.m. Hollenbeck | Family Medicine | 19401 40th Ave W, Suite 100, Lynnwood, WA 98036-4612 | 2005-10-14 |
| 1407852742 | Laurie L Kreiter | Family Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2005-06-22 |
| 1760918205 | Sang Won | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2017-05-03 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.