DR. IVY M LEE (NPI# 1376573832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376573832 |
| Entity Type | Individual |
| Full Name | DR. IVY M LEE |
| Credential | MD |
| Practice Address |
514 W 2nd St Bloomington IN 47403-2316 |
| Mailing Address |
Po Box 1149 Bloomington IN 47402-1149 |
| Practice Telephone | 8123533719 |
| Practice Fax Number | 8123533713 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 01049528 | IN | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
01049528A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200203160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199905 | Ivy Lee | Nurse Practitioner | 8530 Nw 47th St, Coral Springs, FL 33067-3407 | 2020-06-23 |
| 1699947317 | Ivy Ann Lee | Dermatology | 960 E. Green Street, Suite #330, Pasadena, CA 91106 | 2008-04-02 |
| 1215536735 | Ivy Lee | Student in an Organized Health Care Education/Training Program | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2020-10-26 |
| 1609195023 | Ivy Lee | Chiropractor | 191 Canal St, Room 603, New York, NY 10013-4524 | 2010-05-25 |
| Street Address |
514 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146372 | Karuna S Koneru | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2005-07-06 |
| 1508488909 | Bradley Kenneth Fullbright | Physician Assistant | 514 W 2nd St, Bloomington, IN 47403-2316 | 2020-05-08 |
| 1457827115 | Kelly E Kraines | Physician Assistant | 514 W 2nd St, Bloomington, IN 47403-2316 | 2018-10-22 |
| 1891172706 | Katherine A Boeck | Social Worker | 514 W 2nd St, Bloomington, IN 47403-2316 | 2015-04-29 |
| 1114220761 | Dean Edward Jones | Nurse Practitioner | 514 W 2nd St, Bloomington, IN 47403-2316 | 2010-12-20 |
| 1871806349 | Laura Sharmini Lourdes | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2010-07-26 |
| 1184825242 | Cancer Care Center of Southern Indiana, LLC | Specialist | 514 W 2nd St, Bloomington, IN 47403-2316 | 2007-05-29 |
| 1275644072 | Marielle A. Abell | Physician Assistant | 514 W 2nd St, Bloomington, IN 47403-2316 | 2006-08-31 |
| 1053347039 | Robert Stone | Emergency Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2006-06-23 |
| 1205886181 | Jeffrey Paul Allerton | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174092126 | Katie O'connor | Internal Medicine | 2404 Valparaiso St, Valparaiso, IN 46383-3198 | 2018-11-20 |
| 1861989998 | Comfort 1 Hospice, LLC | Internal Medicine | 129 S Dixie Way Ste B, South Bend, IN 46637-3392 | 2018-04-14 |
| 1700346004 | Hospice Advantage, LLC | Internal Medicine | 3530 West Fox Ridge Lane, Muncie, IN 47304 | 2019-03-22 |
| 1831633502 | James Legrand Md, LLC | Internal Medicine | 7855 S Emerson Ave, Suite H, Indianapolis, IN 46237-8668 | 2016-12-14 |
| 1689049223 | Prime By Aseracare LLC | Internal Medicine | 1401 Professional Blvd, Ste 201, Evansville, IN 47714-8014 | 2015-12-08 |
| 1053701466 | Samira Molaei | Internal Medicine | 1701 S Creasy Ln, Lafayette, IN 47905 | 2015-01-23 |
| 1861809451 | Seasons Medical Group of Indiana, PC | Internal Medicine | 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 | 2014-07-16 |
| 1558625434 | Anna Kathryn Dauer | Internal Medicine | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2012-06-26 |
| 1669622098 | Emily Lowell Giesel | Internal Medicine | 8450 N Payne Rd Ste 100, Indianapolis, IN 46268-6621 | 2008-09-22 |
| 1407038326 | Ashlei W. Lowery | Internal Medicine | 3815 River Crossing Pkwy Ste 100, Indianapolis, IN 46240 | 2007-12-03 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.