PETER Y LEE (NPI# 1205886520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205886520 |
| Entity Type | Individual |
| Full Name | PETER Y LEE |
| Credential | MD |
| Practice Address |
13640 N Plaza Del Rio Blvd Ste 230 Peoria AZ 85381-4846 |
| Mailing Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
| Practice Telephone | 6238763810 |
| Practice Fax Number | 6238763862 |
| Mailing Telephone | 6238763800 |
| Mailing Fax Number | 6239729590 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
28340 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE PIN | 060060798 | 01 |
| AZ | 539984 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474644 | Peter Lee | Emergency Medical Technician, Basic | 021 Sw Bancroft St, Portland, OR 97239-4064 | 2020-07-15 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1326585688 | Peter Lee | Pharmacist | 12988 68th St Se, Lisbon, ND 58054-9797 | 2017-01-25 |
| 1669821633 | Peter B Lee | Dentist | 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 | 2016-06-09 |
| 1629320007 | Peter Uy Lee | Otolaryngology | 1341 Boundary Rd, Middleton, WI 53562-3843 | 2012-10-09 |
| 1477803864 | Peter Lee | Dentist | 2428 Manoa Rd, Honolulu, HI 96822-1902 | 2012-09-13 |
| 1205166386 | Peter B Lee | Optometrist | 4518 186th St, #110, Redondo Beach, CA 90278-4669 | 2010-01-12 |
| 1306173133 | Peter A Lee | Hearing Instrument Specialist | 745 S Main St, Lebanon, OR 97355-3209 | 2009-11-16 |
| 1134374275 | Peter K Lee | Internal Medicine | 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 | 2008-11-17 |
| 1194989251 | Peter Kang Woo Lee | Physical Medicine & Rehabilitation | 16611 65th Avenue, Fresh Meadows, NY 11365-1917 | 2008-07-17 |
| Street Address |
13640 N PLAZA DEL RIO BLVD STE 230 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279654 | John Peter Kieley | Internal Medicine | 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 | 2005-07-20 |
| 1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
| 1871062158 | Samantha Mae Boartfield | Pharmacist | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2018-11-16 |
| 1790236487 | Israa Al-sayyed | Physician Assistant | 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 | 2016-10-18 |
| 1326408444 | Banner Pharmacy Services LLC | Pharmacy | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2016-03-02 |
| 1801278981 | Shin Jung Yoon | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2015-06-24 |
| 1831584044 | Michelle Obillo Prestoza | Family Medicine | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2015-04-03 |
| 1578967162 | Tina Marino | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 | 2014-10-10 |
| 1396156139 | Banner Health | Non-Pharmacy Dispensing Site | 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 | 2014-05-14 |
| 1932522836 | Deborah L. Burns | Registered Nurse | 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553016 | Ashim Aggarwal | Internal Medicine | 13634 N 93rd Ave Ste 300, Peoria, AZ 85381 | 2007-08-17 |
| 1174672331 | Thanad S Shay | Internal Medicine | 1201 N North St, Peoria, IL 61606-1533 | 2007-01-09 |
| 1568558492 | Barry Rosen | Internal Medicine | 28685 N. 129th Ave, Peoria, AZ 85383 | 2006-10-05 |
| 1265535116 | Frank Gold | Internal Medicine | 112 Crescent Avenue, Peoria, IL 61603 | 2006-09-06 |
| 1912929118 | Alexander Adler | Internal Medicine | 112 Ne Crescent, 2nd Floor, Peoria, IL 61603 | 2006-07-24 |
| 1588691877 | Joseph J Sarmiento IIi | Internal Medicine | 5405 North Knoxville Avenue, Peoria, IL 61614 | 2006-06-26 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1649268723 | Gabor S Jilly | Internal Medicine | 13128 N 94th Dr, No 100, Peoria, AZ 85381-4252 | 2005-10-12 |
| 1003804170 | Manoj Rawal | Internal Medicine | 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381-4246 | 2005-10-12 |
| 1134121825 | Marc A Petein | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-08-11 |
| Find all providers in PEORIA | ||||
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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.