DR. MARTIN W LEE (NPI# 1134104458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134104458 |
| Entity Type | Individual |
| Full Name | DR. MARTIN W LEE |
| Credential | M.D. |
| Practice Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Mailing Address |
6465 Wayzata Blvd Ste 315 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529933248 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
37425 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063580447 | Martin Davis Lee | Chiropractor | 106 South Elm Street, Benson, NC 27504 | 2006-12-01 |
| 1306832399 | Martin Hyungil Lee | Internal Medicine | 1245 Wilshire Blvd Ste 780, Los Angeles, CA 90017-4881 | 2005-09-23 |
| 1275025975 | Martin Lee | Pharmacist | 7350 Manatee Ave W, Bradenton, FL 34209-3441 | 2018-05-30 |
| 1902312127 | Martin Eugene Lee | Behavior Technician | 3978 Sorrento Valley Blvd, San Diego, CA 92121-1436 | 2017-12-26 |
| 1841571155 | Martin Arthur Lee | Pharmacist | 2605 Barna Ave, Titusville, FL 32780-5452 | 2011-08-31 |
| 1235456096 | Martin Kind-man Lee | Occupational Therapist | 3600 34th St S, St Petersburg, FL 33711-3800 | 2010-05-03 |
| 1700974557 | Martin N Lee | Pediatrics | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2006-10-10 |
| 1013937663 | Martin Mao-ting Lee | Internal Medicine | 702 23rd Ave Se, Puyallup, WA 98372-4661 | 2006-07-19 |
| 1225094006 | Martin Lee | Internal Medicine | 268 Canal St, 6 Floor, New York, NY 10013-3599 | 2006-04-21 |
| Street Address |
3800 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497745 | Mary C Fields | Psychiatry & Neurology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-06-16 |
| 1316552383 | Emily Elizabeth Morimoto | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-09-15 |
| 1245862846 | Caara Hirsch Leintz | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-02-11 |
| 1477102770 | Kyja Foster | Counselor | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-09-09 |
| 1750938411 | Abigale Jayne Harris | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-19 |
| 1912552076 | Michael Patrick Miller | Dietitian, Registered | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-06 |
| 1083277743 | Jessica B Arndt | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-04-18 |
| 1043785157 | Jerry L Juhl | Physical Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-05 |
| 1437624558 | Chandler Elise Domian Ommen | Occupational Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-04 |
| 1861977472 | Sarah Ruth Tupper | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| 1285611673 | Amy B Spomer | Internal Medicine | 6490 Excelsior Blvd Ste W01, Park Nicollet Clinic - Mead, St Louis Park, MN 55426 | 2005-12-27 |
| 1962845172 | Michael Benjamin Blazar | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426 | 2013-04-08 |
| 1598025314 | Jayanthi Vijayakumar | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2012-05-26 |
| 1124311048 | Karen Elizabeth Rabenau | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2011-05-25 |
| 1952310237 | Brenda R Larson | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-08-05 |
| 1720038748 | Lorre Ann Ochs | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-4375 | 2006-05-11 |
| 1710949920 | Daniel M Anderson | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-04-04 |
| 1457338378 | Mark Wilkowske | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-4375 | 2005-12-30 |
| 1760469928 | Mark Menge | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-29 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on DR. MARTIN W 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.