SUNG AE LEE (NPI# 1174953913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174953913 |
Entity Type | Individual |
Full Name | SUNG AE LEE |
Credential | M.D. |
Practice Address |
820 W. Ravina Lane Anthem AZ 85086 |
Practice Telephone | 6234339904 |
Mailing Telephone | 6234339904 |
Mailing Fax Number | 6234339904 |
Enumeration Date | 2013-11-14 |
Last Update Date | 2013-11-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
33131 | MO | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
10188 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285268227 | Sung Hyun Lee | Registered Nurse | 4800 Hanover Dr, Flower Mound, TX 75028-7324 | 2020-02-28 |
1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
1720471196 | Sung H Lee | Social Worker | 1150 N Knollwood Cir, Anaheim, CA 92801-1307 | 2015-03-10 |
1740687110 | Sung Lee | General Practice | 2918 Pasture Ln, Sugar Land, TX 77479-1845 | 2014-12-01 |
1992139075 | Sung Bok Lee | Acupuncturist | 80-18 221street, Queens Village, NY 11427 | 2013-08-26 |
1104140532 | Sung K Lee | Pharmacist | 750 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-13 |
1063671568 | Sung W Lee | Dentist | 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709-7941 | 2008-06-09 |
1093983660 | Sung S Lee | Physical Therapist | 6860 Commercial Dr, Unit C, Springfield, VA 22151-4201 | 2008-02-15 |
1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
1881746238 | Sung Lee | Dentist | 3712 9th St Sw, Suite 1, Puyallup, WA 98373-3564 | 2007-01-17 |
Street Address |
820 W. RAVINA LANE |
City | ANTHEM |
State | AZ |
Zip Code | 85086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
1922350404 | A Touch of Desert Class L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 38718 N 29th Ave, Phoenix, AZ 85086 | 2012-10-09 |
Find all providers in zip 85086 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
1902305899 | Sonoran Skin Cancer Treatment Centers, LLC | Radiology | 1425 Greenfield Road, Mesa, AZ 85206 | 2018-02-06 |
1811307333 | Joshua R Niska | Radiology | Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2014-05-06 |
1053731356 | Andrew Orton | Radiology | 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 | 2014-04-24 |
1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
1366726788 | Vershalee Shukla | Radiology | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2011-10-04 |
1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
1679767768 | Simul D Parikh | Radiology | Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2007-08-31 |
1457561086 | Kurt Andrew Wharton | Radiology | 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 | 2007-05-23 |
1013126440 | Abhilash P Nambiar | Radiology | 14506 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2007-05-22 |
Find all providers with the same taxonomy |
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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.