DR. JONG WOO LEE (NPI# 1376640094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376640094 |
| Entity Type | Individual |
| Full Name | DR. JONG WOO LEE |
| Credential | M.D., PH.D. |
| Practice Address |
75 Francis St Department of Neurology, Brigham and Women's Hospital Boston MA 02115-6110 |
| Mailing Address |
75 Great Meadow Rd Newton MA 02459-2714 |
| Practice Telephone | 6177327547 |
| Mailing Telephone | 6172991412 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
223282 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
223282 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2125196 | 05 |
| Street Address |
75 FRANCIS ST DEPARTMENT OF NEUROLOGY, BRIGHAM AND WOMEN'S HOSPITAL |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980370 | Michael W Groff | Specialist | 75 Francis St, Neurosurgery, Boston, MA 02115-6110 | 2005-05-27 |
| 1841891405 | Judith Jordan Lauerman | Registered Nurse | 75 Francis St, Boston, MA 02115-6106 | 2020-11-02 |
| 1215535158 | Katherine Elizabeth Dubois | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-10-13 |
| 1720695935 | Kelly Casey | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-09-30 |
| 1104433556 | Laura Anne Murphy | Nuclear Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-29 |
| 1801402300 | Xiao Ou He | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-09-20 |
| 1811503469 | Kelsey Killeen | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-09-18 |
| 1346855384 | Kendall Lenore Mehinagic | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2020-09-15 |
| 1689289027 | Rania El Fekih | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-12 |
| 1881206340 | Jean-francois Toupin | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083168256 | Shreyans Shah | Psychiatry & Neurology | 330 Brookline Ave, Shapiro 8 Tcc, Boston, MA 02215-5400 | 2016-08-05 |
| 1649227356 | Kaarkuzhali Babu Krishnamurthy | Psychiatry & Neurology | 736 Cambridge St, Boston, MA 02135-2907 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642286 | Gina Deck | Psychiatry & Neurology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-24 |
| 1164743092 | Neurology of Central Massachusetts, PC | Psychiatry & Neurology | 50 Memorial Dr, Suite 211, Leominster, MA 01453-2238 | 2010-06-15 |
| 1932339025 | Swapna Lakshmi Putta | Psychiatry & Neurology | 55 Fogg Road, Bwh Department of Neurology, Emerson 150, South Weumouth, MA 02190 | 2009-07-23 |
| 1275723413 | George A. Gonzalez, M.d., P.C. | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, Suite 660, Concord, MA 01742-4181 | 2007-07-25 |
| 1427255538 | Green Mountain Neurology, Inc | Psychiatry & Neurology | 777 North St, Suite 205, Pittsfield, MA 01201-4147 | 2007-07-02 |
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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.