DR. KENNETH ADAM LEE (NPI# 1295734960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295734960 |
Entity Type | Individual |
Full Name | DR. KENNETH ADAM LEE |
Credential | MD |
Practice Address |
1240 S Old Dixie Hwy Jupiter FL 33458-7205 |
Mailing Address |
Po Box 9218 Jupiter FL 33468-9218 |
Practice Telephone | 5612634400 |
Mailing Telephone | 5617482889 |
Mailing Fax Number | 5617481523 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2011-09-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME104831 | FL | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA08616300 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KAISER | 250653 | 01 | |
BCBS | 64563901 | 01 | |
BCBS | 0002 | 01 | |
MAMSI | 2139008 | 01 | |
FEDERAL WORKMANS COMP | 607156001 | 01 | |
AETNA PPO | 7880154 | 01 | |
AETNA HMO | 3835654 | 01 | |
MD | 407954000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376010694 | Kenneth Brian Lee | Student in an Organized Health Care Education/Training Program | 12603 Hogans Aly, Chester, VA 23836-8600 | 2018-10-24 |
1730660531 | Kenneth Lee | Physical Therapist | 13178 Sw 30th St, Miramar, FL 33027-3838 | 2018-08-28 |
1184067852 | Kenneth Lee | Student in an Organized Health Care Education/Training Program | 331 Hawk Ridge Dr, Richmond, CA 94806-5819 | 2013-04-12 |
1003076670 | Kenneth Ray Lee | Non-emergency Medical Transport (VAN) | 3285 Highway 1045, Amite, LA 70422-7239 | 2008-06-16 |
1609034446 | Kenneth V Lee | Dentist | 13352 Lincoln Way, Auburn, CA 95603-3226 | 2008-05-29 |
1316013543 | Kenneth Alvin Lee | Social Worker | 315 Corbett Ave, San Francisco, CA 94114-1884 | 2006-11-28 |
1275604928 | Kenneth N Lee | Dentist | 422 Forest Ave, Paramus, NJ 07652-5519 | 2006-11-13 |
1912929548 | Kenneth K. Lee | Dentist | 50 Route 17k Ste 104, Newburgh, NY 12550-3974 | 2006-07-24 |
1902845225 | Kenneth W Lee | Chiropractor | 1475 E Oakton St, Suite 4, Des Plaines, IL 60018-2166 | 2006-06-05 |
1811947807 | Kenneth M Lee | Chiropractor | 5935 E Spring St, Long Beach, CA 90808-3752 | 2006-05-11 |
Street Address |
1240 S OLD DIXIE HWY |
City | JUPITER |
State | FL |
Zip Code | 33458-7205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538798764 | Natalie Fix | Nurse Practitioner | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2020-04-08 |
1407489370 | Publix Super Markets, Inc. | Pharmacy | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2020-02-19 |
1306257894 | Radiology Services of Jupiter Medical Specialists, LLC | Radiology | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2014-05-19 |
1881986800 | Nathan Beecham Tennyson | Radiology | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2011-05-10 |
1255658548 | Raj Suresh Rajpara | Radiology | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2010-04-26 |
1811152275 | Lisa-paula Paixao Da Silva | Social Worker | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2008-07-25 |
1619187879 | Judith Armstrong | Radiology | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-05-23 |
1053345181 | Advanced Radiation Oncology P.a. | Radiology | 1240 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
1124035720 | Arthur Herman Katz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 303, Jupiter, FL 33458-7202 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
1205279411 | John Nicholas Melvan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Holy Cross Medical Group, Div of Cardiothoracic Surgery, 4725 North Federal Hwy, Suite 402, Fort Lauderdale, FL 33308 | 2013-04-08 |
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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.