HWAL LEE (NPI# 1255803359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255803359 |
| Entity Type | Individual |
| Full Name | HWAL LEE |
| Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
| Practice Telephone | 8133829874 |
| Mailing Telephone | 8133829874 |
| Enumeration Date | 2018-12-30 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PSYCHIATRIC REHABILITATION ASSOCIATION | 10012160 | 01 |
| Street Address |
101 ELM AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382780 | Thomas James Tronstad | Student in an Organized Health Care Education/Training Program | 5009 Oakleigh Ave Sw, Roanoke, VA 24018-1611 | 2020-07-03 |
| 1326662131 | Kara Marie Williams | Student in an Organized Health Care Education/Training Program | 16 Old Woods Ave Se Apt 333, Roanoke, VA 24016-1431 | 2020-06-08 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1790310837 | Amit Piple | Student in an Organized Health Care Education/Training Program | 2530 Rosalind Ave Sw, Roanoke, VA 24014-2326 | 2020-03-09 |
| 1629608138 | Jessica Lynn Jacobs | Student in an Organized Health Care Education/Training Program | 360 Fincher Rd, Roanoke, AL 36274-2632 | 2020-01-23 |
| 1548809429 | Violet Gelowani | Student in an Organized Health Care Education/Training Program | 1406 3rd St Sw Apt 5, Roanoke, VA 24016-5249 | 2019-12-25 |
| 1275171241 | Kayla Brett Pulley | Student in an Organized Health Care Education/Training Program | 327 Campbell Ave Sw Apt 107, Roanoke, VA 24016-3653 | 2019-12-20 |
| 1831754175 | Kevin Charles Duffy | Student in an Organized Health Care Education/Training Program | 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 | 2019-05-02 |
| Find all providers in ROANOKE | ||||
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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.