JONG O. LEE (NPI# 1174631295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174631295 |
| Entity Type | Individual |
| Full Name | JONG O. LEE |
| Credential | M.D. |
| Practice Address |
815 Market St Medical Staff Office Galveston TX 77550-2725 |
| Practice Telephone | 4097706731 |
| Practice Fax Number | 4097706919 |
| Mailing Telephone | 4097706731 |
| Mailing Fax Number | 4097706919 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
L8107 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 8718B7 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| 1427423870 | Jong Tai Lee | Acupuncturist | 148 Casuda Canyon Dr, F, Monterey Park, CA 91754-2234 | 2015-12-10 |
| 1235577438 | Jong Hwa Lee | Acupuncturist | 317 W Cheltenham Ave, Melrose Park, PA 19027-3310 | 2013-06-10 |
| 1124305057 | Jong S Lee | Dentist | 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 | 2011-11-06 |
| 1497075899 | Jong Chul Lee | Pharmacist | 1050 N Mountain Ave, Rite Aid, Ontario, CA 91762-2114 | 2010-06-08 |
| 1942470703 | Jong Jin Lee | Pharmacist | 237b Columbus Ave, Palisades Park, NJ 07650-1105 | 2008-03-08 |
| 1245417989 | Jong K Lee | Chiropractor | 1019 S Arlington Heights Rd, Arlington Heights, IL 60005-3138 | 2008-01-24 |
| 1205915444 | Jong Min Lee | Podiatrist | 4605 Frankford Ave, Philadelphia, PA 19124-5803 | 2006-11-06 |
| 1548363492 | Jong In Lee | Pediatrics | 5471 La Palma Ave Ste 205, La Palma, CA 90623-1733 | 2006-09-06 |
| Street Address |
815 MARKET ST MEDICAL STAFF OFFICE |
| City | GALVESTON |
| State | TX |
| Zip Code | 77550-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659334472 | Steven Eric Wolf | Surgery | 815 Market St, Galveston, TX 77550-2725 | 2006-04-11 |
| 1316435563 | Shriners Hospitals for Children | Anesthesiology | 815 Market St, Galveston, TX 77550-2725 | 2018-04-24 |
| 1225548472 | Kendall Jo Strain | Physician Assistant | 815 Market St, Galveston, TX 77550-2725 | 2017-10-02 |
| 1518409903 | Haya Abdellatif | Physician Assistant | 815 Market St, Galveston, TX 77550-2725 | 2016-11-16 |
| 1659743862 | Shannon Unruh | Physician Assistant | 815 Market St, Galveston, TX 77550-2725 | 2015-10-27 |
| 1568867869 | Amanda Nicole White | Physician Assistant | 815 Market St, Attn: Amanda White, Galveston, TX 77550-2725 | 2014-10-29 |
| 1851631709 | Shriners Hospitals for Children | Surgery | 815 Market St, Galveston, TX 77550-2725 | 2013-02-28 |
| 1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
| 1720359169 | Jesus Eduardo Leal Gutierrez | Surgery | 815 Market St, Galveston, TX 77550-2725 | 2012-01-17 |
| 1871800888 | Erick Henry | Physician Assistant | 815 Market St, Galveston, TX 77550-2725 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087548 | Galveston Chiropractic | Chiropractor | 1023 21st Street, Galveston, TX 77550 | 2019-08-05 |
| 1134615461 | Roxanne Marie Morales | Emergency Medicine | 301 8th Street, Galveston, TX 77550 | 2018-07-10 |
| 1669911541 | Maryann Martin | Nurse Practitioner | 901 Harborside Drive, Galveston, TX 77550 | 2017-02-13 |
| 1942563945 | Sheba Ann Luke | Nurse Practitioner | 400 Harborside Dr #104, Galveston, TX 77550 | 2012-06-25 |
| 1679847123 | Deanna Lynn Ball | Counselor | 2121 Market St Ste 208, Galveston, TX 77550 | 2012-03-01 |
| 1881919611 | Gursaran Banipal Morrical | Emergency Medicine | 901 Harborside Dr, Galveston, TX 77550 | 2010-04-05 |
| 1477885770 | George Michael Moore | Dentist | 2002 45th St, Galveston, TX 77550 | 2010-02-11 |
| 1205067311 | Kristen Cares, Inc | In Home Supportive Care | 1623 Broadway, Galveston, TX 77550 | 2009-08-06 |
| 1518114552 | Julie Mary Bonomo | Speech-Language Pathologist | 928 Broadway St, Galveston, TX 77550 | 2008-08-21 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| Find all providers in zip 77550 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730418898 | Clarisse Djukom | Surgery | 3102 69th St, Galveston, TX 77551-2191 | 2009-12-18 |
| 1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
| 1386848950 | Carlos Javier Jimenez | Surgery | 301 University Blvd, University of Texas Medical Branch, Galveston, TX 77555-1220 | 2007-06-14 |
| 1184732182 | James J. Gallagher | Surgery | 815 Market St, Medical Staff Office, Galveston, TX 77550-2725 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528335 | Erich Paul Gerhardt | Surgery | 910 E Houston St Ste 530, Tyler, TX 75702-8366 | 2009-06-11 |
| 1588752380 | Octavio Javier Garcia Sr. | Surgery | 822 Kinney St, Corpus Christi, TX 78401-3006 | 2006-10-10 |
| 1154355626 | David Lawrence Smith | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2006-07-10 |
| 1932149010 | James Gordon Cushman | Surgery | 18101 Point Lookout Dr Apt 103, Houston, TX 77058-3568 | 2006-06-07 |
| 1710977525 | Lorne Howar Blackbourne | Surgery | 2300 Round Rock Ave Ste 201, Round Rock, TX 78681-4026 | 2005-10-24 |
| 1811997059 | Scott H Norwood | Surgery | 1020 E Idel St, Tyler, TX 75701-2024 | 2005-07-29 |
| 1124438072 | Nestor Arita | Surgery | 1 Baylor Plz, 404d, Houston, TX 77030-3411 | 2014-04-30 |
| 1932469178 | Anthony Cahill | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2012-05-22 |
| 1174815765 | Kara Monday | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2011-05-14 |
| 1306157110 | Vincente Scott Nelson | Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-06-25 |
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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.