RENATO SIAZON LEE


Address: 611 W Belle Ave, Saint Charles, MI 48655-1611
Phone: 9898659958

RENATO SIAZON LEE (NPI# 1114977725) 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) 1114977725
Entity Type Individual
Full Name RENATO SIAZON LEE
Credential M.D.
Practice Address 611 W Belle Ave
Saint Charles
MI 48655-1611
Mailing Address 611 W Belle Ave
Po Box 160
Saint Charles
MI 48655-1611
Practice Telephone 9898659958
Practice Fax Number 9898658099
Enumeration Date 2006-05-12
Last Update Date 2009-09-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301055115 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS OF MICHIGAN ID 0807341122 01
MI HEALTHPLUS OF MICHIGAN ID 080G360680 01
MI 4348831 05

Office Location

Street Address 611 W BELLE AVE
City SAINT CHARLES
State MI
Zip Code 48655-1611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538635842 Kimberly Truckner Registered Nurse 611 W Belle Ave, Saint Charles, MI 48655-1611 2018-10-15
1265893432 St. Charles Family Clinic Pllc Internal Medicine 611 W Belle Ave, Saint Charles, MI 48655-1611 2016-03-15
1205295573 Jillian Rodney Nurse Practitioner 611 W Belle Ave, Saint Charles, MI 48655-1611 2016-02-16
1134431778 St Charles Family Practice Plc LLC Family Medicine 611 W Belle Ave, Saint Charles, MI 48655-1611 2010-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669837993 St. Charles Family Clinic Pllc Family Medicine 611 W Belle Avenue, Saint Charles, MI 48655 2015-12-31
1023412889 Rachel Wells Licensed Practical Nurse 223 W Belle Ave, St. Charles, MI 48655 2014-10-22
1194140962 Dcs Management Assisted Living Facility 302 Fulton Street, Saint Charles, MI 48655 2014-03-03
1245297415 St Charles Pharmacy LLC Pharmacy 1008 N Saginaw St, St. Charles, MI 48655 2006-04-29
1912391418 Pat Bashans Registered Nurse 10797 Carr Road, Saint Charles, MI 48655-0105 2015-03-23
1841274909 Ronald Gonzales Jr. Family Medicine 1124 N Saginaw St, Saint Charles, MI 48655-1021 2005-12-02
1154368439 Ronald L Gonzales Md Pllc Family Medicine 1124 N Saginaw St, Saint Charles, MI 48655-1021 2006-06-02
1710432836 Carrie Wilson Pharmacist 1008 N Saginaw St, Saint Charles, MI 48655-1022 2016-08-18
1154388320 Laura Snellenberger Pharmacist 1008 N Saginaw St, Saint Charles, MI 48655-1022 2006-04-29
1134512262 Tricia Douglas Specialist/Technologist 881 W Walnut St, Saint Charles, MI 48655-1257 2015-03-13
Find all providers in zip 48655

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669837993 St. Charles Family Clinic Pllc Family Medicine 611 W Belle Avenue, Saint Charles, MI 48655 2015-12-31
1922408426 Total Access Urgent Care, PC Family Medicine 3871 Mexico Rd, Saint Charles, MO 63303-3042 2014-09-03
1154687077 Elizabeth H Maylack Family Medicine 1551 Wall St Ste 400, Saint Charles, MO 63303-3541 2012-04-04
1164793360 George William Pappas Family Medicine 525 Tyler Rd Ste J, Saint Charles, IL 60174-3363 2012-01-19
1407940513 Hemalini Thakkar Family Medicine 2015 Dean St, #2, Saint Charles, IL 60174-1577 2006-10-03
1801903463 Natan Lvovitch Khotianov Family Medicine 12 Tristan Ter, Saint Charles, MO 63303-4207 2006-08-23
1639180631 Ssm Depaul Medical Group, Inc. Family Medicine 1821 Sherman Dr, Saint Charles, MO 63303-3984 2006-08-11
1235173378 Dr. Eischen Clinic, P. C. Family Medicine 106 West Main Street, Suite 267, Saint Charles, IA 50240-0267 2006-06-16
1013981109 Steven B Livingstone Family Medicine 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 2006-02-15
1841274909 Ronald Gonzales Jr. Family Medicine 1124 N Saginaw St, Saint Charles, MI 48655-1021 2005-12-02
Find all providers in SAINT CHARLES

Competitor

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City SAINT CHARLES
Zip Code 48655

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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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