CHUNG SENG LEE


Address: 2622 Lake Ave, Fort Wayne, IN 46805-5410
Phone: 2604253100

CHUNG SENG LEE (NPI# 1093718249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093718249
Entity Type Individual
Full Name CHUNG SENG LEE
Credential M.D.
Practice Address 2622 Lake Ave
Fort Wayne
IN 46805-5410
Practice Telephone 2604253100
Practice Fax Number 2604253604
Mailing Telephone 2604253100
Mailing Fax Number 2604253604
Enumeration Date 2005-05-23
Last Update Date 2015-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
01029687A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0480939 05
IN 100055070 05
IN RR MEDICARE 110002008 01

Other Providers CHUNG LEE

NPI Name Taxonomy Address Enumeration
1669502308 Chung Hee Lee Optometrist 786 Broad St, Newark, NJ 07102-3728 2007-03-06
1912075235 Chung Min Lee Pediatrics 12121 E Carsons St, Hawaiian Gardens, CA 90716 2006-12-04
1972609360 Chung K Lee Radiology Radiation Oncology Clinic, 500 Harvard Street Se, Minneapolis, MN 55455 2006-09-15
1568460764 Chung H Lee Anesthesiology 135 Lafayette Ave, Palmerton, PA 18071-1518 2005-07-12
1154951960 Chung H Lee Contractor 21 Stringham Ave, Valley Stream, NY 11580-3915 2020-01-21
1306299516 Chung Lee Dentist 2300 Ramsey St, Fayetteville, NC 28301-3856 2016-07-22
1083078323 Chung Lee Pharmacist 550 E Union St, West Chester, PA 19382-3908 2016-04-13
1639510258 Chung Lee Dentist 414 Main St, Hudson, MA 01749-1731 2013-07-11
1497043632 Chung Albert Lee Pediatrics 171 Ashley Ave, Charleston, SC 29425-1002 2011-07-20
1497045298 Chung Un Lee Medical Genetics 725 Welch Rd, Palo Alto, CA 94304-1601 2011-04-13

Office Location

Street Address 2622 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528354529 Kara Jo Lowenstein Speech-Language Pathologist 2622 Lake Ave, Fort Wayne, IN 46805-5410 2011-06-28
1124297379 Allied Physicians Inc Neurological Surgery 2622 Lake Ave, Fort Wayne, IN 46805-5410 2008-02-21
1215126958 Susan D. Overcash Nurse Practitioner 2622 Lake Ave, Fort Wayne, IN 46805-5410 2007-10-18
1275740169 Mahnaz Qazi Family Medicine 2622 Lake Ave, Fort Wayne, IN 46805-5410 2007-05-17
1205952397 Minxin Fu Pediatrics 2622 Lake Ave, Fort Wayne, IN 46805-5410 2007-03-21
1851442891 Revathi Reena Ramani Pediatrics 2622 Lake Ave, Fort Wayne, IN 46805-5410 2007-01-16
1841352697 Erica L. Kueber Nurse Practitioner 2622 Lake Ave, Fort Wayne, IN 46805-5410 2006-12-15
1720153919 Ashraf H Hanna Family Medicine 2622 Lake Ave, Fort Wayne, IN 46805-5410 2006-11-22
1013094846 Lori Snodgrass Occupational Therapist 2622 Lake Ave, Fort Wayne, IN 46805-5410 2006-11-01
1063478360 Dorthea Addo Internal Medicine 2622 Lake Ave, Fort Wayne, IN 46805-5410 2006-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790137115 Abdinoor Medical LLC Internal Medicine 1819 Braemar Dr, Fort Wayne, IN 46814-9364 2016-07-09
1902895949 Imad E Horani Internal Medicine 2231 Carew St, Fort Wayne, IN 46805-4713 2005-10-20
1164411203 Martin J Kaplan Internal Medicine 3439 Hobson Rd, Fort Wayne, IN 46805-1617 2005-10-20
1285633552 Leor David Roubein Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 2005-07-19
1043641475 Zhaodong Li Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 2013-12-11
1689933103 Kaely S Bade Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 2012-05-04
1407140015 Chetan Mittal Internal Medicine 11050 Parkview Circle Dr, Fort Wayne, IN 46845 2011-06-01
1457669228 Saurabh Gupta Internal Medicine 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 2010-09-15
1902113830 Mariajose Rojas De Leon Internal Medicine 11050 Parkview Circle Dr, Fort Wayne, IN 46845 2010-09-14
1598080236 Reshi Chandra Kanuru Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 2010-04-06
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

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.

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