JUNG H. LEE (NPI# 1104933738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104933738 |
| Entity Type | Individual |
| Full Name | JUNG H. LEE |
| Credential | M.D. |
| Practice Address |
353 New Shackle Island Rd #300c Hendersonville TN 37075-2379 |
| Practice Telephone | 6153383337 |
| Practice Fax Number | 6153383329 |
| Mailing Telephone | 6153383337 |
| Mailing Fax Number | 6153383329 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35795 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3869855 | 05 | |
| TN | BCBS OF TN | 4020846 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467707653 | Jung Joo Lee | Dentist | 5616 3rd Ave, Ferndale, WA 98248-8394 | 2012-07-13 |
| 1386904548 | Jung Min Lee | Student in an Organized Health Care Education/Training Program | 210 E 64th St Fl Center6, New York, NY 10065-7471 | 2012-05-22 |
| 1700151115 | Jung Gun Lee | Acupuncturist | 991 Arapahoe St Unit 406, Los Angeles, CA 90006-5839 | 2012-03-19 |
| 1346521200 | Jung Hyun Lee | Dentist | 280 N Central Ave Ste 420, Hartsdale, NY 10530-1842 | 2011-09-06 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1528372182 | Jung A Lee | Pharmacist | 116-130 Broadway, Passaic, NJ 07055 | 2010-08-05 |
| 1518138874 | Jung Suk Lee | Acupuncturist | 8 Brookes Ave, Suite102, Gaithersburg, MD 20877-2753 | 2008-03-14 |
| 1841477379 | Jung Ik Lee | Dentist | 1139 Roxbury Dr, Westbury, NY 11590-5444 | 2008-01-28 |
| 1316169246 | Jung Eun Lee | Pharmacist | 4551 Forbes Blvd, Lanham, MD 20706 | 2007-05-02 |
| 1255491346 | Jung Lee | Dentist | 507 S Second Street, Champaign, IL 61820 | 2006-12-11 |
| Street Address |
353 NEW SHACKLE ISLAND RD #300C |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164580254 | Kamanahally Mudlappa Anandaiah | Internal Medicine | 107 Imperial Blvd Ste 11, Adult Cardiologist PC, Hendersonville, TN 37075 | 2006-12-04 |
| 1841394582 | Tennessee Physicians Alliance PC | Internal Medicine | 353 New Shackle Island Rd., Suite 300-c, Hendersonville, TN 37075-2384 | 2006-09-12 |
| 1952317612 | Albert Frederick Koch IIi | Internal Medicine | 353 New Shackle Island Rd Ste 300c, Hendersonville, TN 37075-2384 | 2006-08-01 |
| 1679520316 | Peter Allen Monoson | Internal Medicine | 50 Hospital Dr Ste 3b2, Hendersonville, NC 28792-5248 | 2006-05-28 |
| 1316901788 | Jeffrey M Hardin | Internal Medicine | 50 Hospital Dr Ste 3b, Hendersonville, NC 28792-5245 | 2006-04-13 |
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1043347511 | Adult Cardiologist, P.C. | Internal Medicine | 107 Imperial Blvd, Ste.11, Hendersonville, TN 37075-3479 | 2007-02-28 |
| 1992817126 | Martin J Sullivan | Internal Medicine | 50 Hospital Dr, Suite 3b2, Hendersonville, NC 28792-5248 | 2006-09-01 |
| 1679689285 | Tracy Q. Callister | Internal Medicine | 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075-2379 | 2006-08-23 |
| 1790891315 | Donald J Russo | Internal Medicine | 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075-2379 | 2006-08-23 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on JUNG H. LEE.
| 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.