MICHELLE JUNE LEE (NPI# 1285151977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285151977 |
| Entity Type | Individual |
| Full Name | MICHELLE JUNE LEE |
| Credential | PA |
| Practice Address |
8701 Broadway Merrillville IN 46410-7035 |
| Mailing Address |
2024 W Potomac Ave Apt 1r Chicago IL 60622-3152 |
| Practice Telephone | 2197383593 |
| Mailing Telephone | 12063130624 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10002279A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121968 | Michelle Lee | Technician | 112 Irvington St Sw Apt 203, Washington, DC 20032-1059 | 2020-07-16 |
| 1124654611 | Michelle Lee | Registered Nurse | 1919 Fruitdale Ave Apt I8, San Jose, CA 95128-4931 | 2020-03-17 |
| 1245860261 | Michelle Lee | Social Worker | 925 Mitchell Ln, Evans, GA 30809-5445 | 2020-01-17 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1952817546 | Michelle Lee | Speech-Language Pathologist | 12001 S Naperville Rd, Plainfield, IL 60585-8901 | 2017-12-19 |
| 1699281295 | Michelle Yoon Lee | Pharmacist | 5 Patsy Pl, Great Neck, NY 11023-1448 | 2017-12-18 |
| 1730628710 | Michelle Lee | Home Health | 21000 Lackland Pl, Denver, CO 80249-8530 | 2017-02-23 |
| 1679925598 | Michelle Sohn Lee | Nurse Practitioner | 5920 100th St Sw Ste 26, Lakewood, WA 98499-2751 | 2016-07-02 |
| 1992197818 | Michelle Marie Lee | Registered Nurse | 109 Bowling Ln, Deer Park, NY 11729-6724 | 2015-03-02 |
| 1083003214 | Michelle Lee | Physical Therapy Assistant | 3051 W Cheryllyn Ln # 35, Anaheim, CA 92804-3168 | 2015-01-12 |
| Street Address |
8701 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124777 | Gregory S Gordon | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2005-09-12 |
| 1013520832 | John Doss | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-31 |
| 1023620945 | Luke Elliot Stanczyk | Physician Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-08-21 |
| 1104434091 | Agnieszka Krynska-wozniak | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-16 |
| 1831707918 | Johnnie Mae Gaddy | Physical Therapy Assistant | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-15 |
| 1639797327 | Maria Cecilia Patdu Maunes | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1487272175 | Anna Marie Castillo | Physical Therapist | 8701 Broadway, Merrillville, IN 46410-7035 | 2020-07-08 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1578918108 | Jenee Bhuju | Internal Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2016-05-02 |
| 1417325457 | Samia Katherine Esseddiqi | Nurse Anesthetist, Certified Registered | 8701 Broadway, Merrillville, IN 46410 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551288 | Elizabeth Howard | Physician Assistant | 9001 Broadway, Merrillville, IN 46410-7041 | 2015-03-04 |
| 1992088199 | Melissa Lynn Cooper | Physician Assistant | 9001 Broadway, Merrillville, IN 46410-7041 | 2011-09-23 |
| 1053358580 | Rami W Musleh | Physician Assistant | 200 E 89th Ave, Suite 3a, Merrillville, IN 46410-7318 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on MICHELLE JUNE 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.