MARK W LEE (NPI# 1285644682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285644682 |
| Entity Type | Individual |
| Full Name | MARK W LEE |
| Credential | MD |
| Practice Address |
5872 S 900 E #100 Salt Lake City UT 84121-1676 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012623443 |
| Mailing Telephone | 8012623443 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 963170731205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1629466032 | Mark Lee | Pharmacist | 100 Forest St, Closter, NJ 07624-1619 | 2015-01-07 |
| 1619028255 | Mark Lee | Emergency Medicine | 315 Avalon Way, Thomasville, GA 31792-1902 | 2007-01-12 |
| 1184799595 | Mark Ellis Lee | Chiropractor | 116 N Lindsay Rd, Suite 7, Mesa, AZ 85213 | 2006-11-21 |
| 1528079969 | Mark Keith Lee | Internal Medicine | 100 Lantana Road, Suite 202, Crossville, TN 38555-1903 | 2006-08-10 |
| 1992727382 | Mark David Lee | Chiropractor | 1590 Clingan Ridge Dr Nw, Cleveland, TN 37312-3650 | 2006-07-24 |
| 1861413536 | Mark Robert Lee | Neurological Surgery | 40 Medical Park Ste 508, Wheeling, WV 26003 | 2006-07-21 |
| 1588696819 | Mark Y Lee | Emergency Medicine | 2601 E Chapman Avenue, Orange, CA 92869 | 2006-07-07 |
| 1669400172 | Mark Robert Lee | Optometrist | 8937 W Sahara Ave, Suite A, Las Vegas, NV 89117-5883 | 2006-06-30 |
| 1558322479 | Mark Chun-liang Lee | Internal Medicine | 11147 Washington Blvd, Whittier, CA 90606-3007 | 2006-03-30 |
| Street Address |
5872 S 900 E #100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063895126 | Quinlin T Card | Audiologist | 5872 S 900 E, Ste 175, Salt Lake City, UT 84121-1676 | 2015-07-07 |
| 1760884266 | Madison Splan | Physical Therapist | 5872 S 900 E, Suite 150, Salt Lake City, UT 84121-1676 | 2014-09-16 |
| 1548683410 | Mark Miles Passey Md PC | Clinic/Center | 5872 S 900 E, 250, Salt Lake City, UT 84121-1676 | 2014-01-29 |
| 1366748121 | Ruediger Tillmann Dds | Dentist | 5872 S 900 E, Ste 202, Salt Lake City, UT 84121-1676 | 2011-01-26 |
| 1295067189 | Innovative Counseling | Community/Behavioral Health | 5872 S 900 E, Ste 185, Salt Lake City, UT 84121-1676 | 2010-02-03 |
| 1013174739 | Sylvia Brunisholz | Social Worker | 5872 S 900 E, Ste 185, Salt Lake City, UT 84121-1676 | 2008-05-20 |
| 1972710390 | Lawrence W Lauro | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2007-05-16 |
| 1710074646 | Ruediger Tillmann | Dentist | 5872 S 900 E, 202, Salt Lake City, UT 84121-1676 | 2006-10-10 |
| 1073523551 | Maurice G Baker | Family Medicine | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| 1598775074 | Michael Andrew Gomez | Physician Assistant | 5872 S 900 E, #100, Salt Lake City, UT 84121-1676 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
| 1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
| 1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
| 1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
| 1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
| 1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
| 1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.