JEFFREY LEE (NPI# 1154775963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154775963 |
| Entity Type | Individual |
| Full Name | JEFFREY LEE |
| Practice Address |
135 Rutledge Ave # 489b Charleston SC 29425 |
| Mailing Address |
135 Rutledge Ave # 489b Charleston SC 29425-8903 |
| Practice Telephone | 4043760710 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
82229 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Hd408, Gainesville, FL 326100296 | 3522738466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409709 | Jeffrey S Lee | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl., Ms-f546, Bldg 500, Rm E2322, Aurora, CO 80045 | 2019-04-03 |
| 1558759001 | Jeffrey Lee | Specialist/Technologist | 60 Reade St, New York, NY 10007-1844 | 2015-01-07 |
| 1346406691 | Jeffrey Allen Lee | Psychologist | 38 E 100 N Ste B, Vernal, UT 84078-2122 | 2008-08-05 |
| 1821268178 | Jeffrey Carl Lee | Occupational Therapist | 3714 Soco Rd, Maggie Valley, NC 28751-6100 | 2008-03-03 |
| 1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
| 1508061672 | Jeffrey A. Lee | Naturopath | 8580 E Sells Dr, Scottsdale, AZ 85251-2848 | 2007-06-19 |
| 1154533586 | Jeffrey Flattery Lee | Chiropractor | 1314 S King St Ste 1564, Honolulu, HI 96814-2072 | 2007-05-06 |
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1669500666 | Jeffrey Ming Lee | Dentist | 822 N Hillview Dr, Milpitas, CA 95035-4544 | 2007-03-01 |
| 1417096264 | Jeffrey C. Lee | Chiropractor | 100 Skyline Plz Ste 103, Daly City, CA 94015-3820 | 2007-02-06 |
| Street Address |
135 RUTLEDGE AVE # 489B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760800650 | Carmine Suppa | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-3816 | 2014-03-28 |
| 1578852828 | Nagraj Kasi | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-04-06 |
| 1225281124 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1063672475 | Candi S Jump | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-06-10 |
| 1346341211 | John N Udall | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| 1205946290 | Janaina Nogueira Anderson | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-1711 | 2006-08-30 |
| 1598726465 | R. Bhanu Vikraman Pillai | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932177052 | Sudipta Misra | Pediatrics | 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 | 2006-03-14 |
| 1609851336 | Yuliya Rekhtman | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 | 2005-12-15 |
| 1962994160 | Stormy B Walker | Pediatrics | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2018-06-04 |
| 1992146419 | Narendra Yallanki | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2013-07-12 |
| 1649532367 | Lindsay M Moye | Pediatrics | 200 Patewood Dr Ste A140, Greenville, SC 29615 | 2012-06-08 |
| 1942249222 | Jonathan E Markowitz | Pediatrics | 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 | 2006-06-05 |
| 1568409456 | Douglas E. Winesett | Pediatrics | 200 Patewood Dr, Suite A140, Greenville, SC 29615-3593 | 2006-06-01 |
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on JEFFREY 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.