PHYLLIS LEE (NPI# 1124010749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124010749 |
| Entity Type | Individual |
| Full Name | PHYLLIS LEE |
| Credential | MD |
| Practice Address |
502 W Water St Princeton WI 54968-9141 |
| Mailing Address |
225 Memorial Dr Berlin WI 54923-1243 |
| Practice Telephone | 9202958801 |
| Practice Fax Number | 9202954833 |
| Mailing Telephone | 9203611313 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2013-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40466-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 40466-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32476700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760985378 | Phyllis Jean Lee | Health Educator | 304 Dilworth St, San Antonio, TX 78203-1806 | 2018-03-10 |
| 1811264609 | Phyllis P. Lee | Marriage & Family Therapist | 15 Road 3084, Aztec, NM 87410-2839 | 2011-11-21 |
| 1427285295 | Phyllis Alma Lee | Registered Nurse | 902 Boyer Street, L'anse, MI 49946 | 2009-06-18 |
| 1447426192 | Phyllis J Lee | Nurse Practitioner | 180 Wsf Tatum Dr, Hattiesburg, MS 39401-7700 | 2008-05-02 |
| 1164566634 | Phyllis Callahan Lee | Dentist | 603 Washington Rd, Suite 200, Pittsburgh, PA 15228-1909 | 2007-02-17 |
| 1437206661 | Phyllis L. Lee | Dietitian, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-03 |
| 1013024371 | Phyllis Lee | Registered Nurse | 2145 5th Avenue, Oroville, CA 95965 | 2006-08-24 |
| Street Address |
502 W WATER ST |
| City | PRINCETON |
| State | WI |
| Zip Code | 54968-9141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306981 | North Star Home Health LLC | Home Health | N7247 Whitetail Ln, Princton, WI 54968 | 2020-08-12 |
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| 1780640250 | City of Princeton | Ambulance | 438 West Main St, Princeton, WI 54968 | 2006-04-25 |
| 1255461620 | Craig Steven Smestad | Dentist | W4861 Village Acres Ln, Princeton, WI 54968-8533 | 2007-03-06 |
| 1386838894 | Princeton School District | Local Education Agency (LEA) | 604 Old Green Lake Rd, Princeton, WI 54968-8667 | 2007-08-29 |
| 1467526996 | Bentley Pharmacies Inc | Pharmacy | 528 W Water St, Princeton, WI 54968-9141 | 2006-11-17 |
| 1629263777 | Barbara Jean Bittinger | Acupuncturist | 527 W Water St, Princeton, WI 54968-9142 | 2007-09-12 |
| 1609400704 | Joseph Cornejo | Acupuncturist | 527 W Water St, Princeton, WI 54968-9142 | 2020-02-27 |
| 1659498673 | Kelly Loy White | Dentist | 617 W Water St, Princeton, WI 54968-9144 | 2007-03-23 |
| 1649575069 | Carrie J Knurowski | Dental Hygienist | 617 W Water St, Princeton, WI 54968-9144 | 2011-01-14 |
| Find all providers in zip 54968 | ||||
| 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 |
|---|---|---|---|---|
| 1528612587 | Joan M Markison | Family Medicine | 22 Morven Pl, Princeton, NJ 08540-3024 | 2019-07-29 |
| 1619531142 | Christina Sheil | Family Medicine | 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 | 2019-04-30 |
| 1174874200 | Alegis Care - New Jersey PC | Family Medicine | 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 | 2012-09-28 |
| 1548557341 | Nicholas Samuel Muscari | Family Medicine | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2011-06-30 |
| 1396041844 | The Other Way | Family Medicine | 923 Cherry Hill Rd, Princeton, NJ 08540-7711 | 2011-02-01 |
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1023279197 | Mark Leenay | Family Medicine | 6940 338th Ln Nw, Princeton, MN 55371-5007 | 2008-06-22 |
| 1619135860 | Elizabeth Joanne Peterson | Family Medicine | 911 Northland Dr., Princeton, MN 55371-1737 | 2008-05-23 |
| 1346444106 | Brian Zack | Family Medicine | 14 Hageman Ln, Princeton, NJ 08540-7547 | 2007-06-13 |
| 1952444234 | Jana Michelle Peters | Family Medicine | 365 Courthouse Road, Princeton, WV 24740 | 2007-02-15 |
| Find all providers in PRINCETON | ||||
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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.