JASON DANIEL LEE (NPI# 1407111339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407111339 |
Entity Type | Individual |
Full Name | JASON DANIEL LEE |
Credential | M.D. |
Practice Address |
8150 Oaklandon Rd Ste 130 Indianapolis IN 46236-9554 |
Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
Practice Telephone | 3176211111 |
Practice Fax Number | 3176211110 |
Enumeration Date | 2012-07-06 |
Last Update Date | 2020-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 01075242A | IN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201311770 | 05 | |
IN | MEDICARE RR PTAN | P01512418 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1011 Main St Ste 140, Indianapolis, IN 462246980 | 3179579000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
1205398021 | Jason Lee | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste 2n-b24, Valhalla, NY 10595-1524 | 2019-04-01 |
1063920858 | Jason Jung Lee | Dentist | 2486 W El Camino Real, Mountain View, CA 94040-1421 | 2018-01-16 |
1831600998 | Jason Yoonhyung Lee | Psychologist | 615 Seabright Ln, Solana Beach, CA 92075-1264 | 2017-10-17 |
1033633060 | Jason J Lee | Chiropractor | 12225 South St Ste 106, Artesia, CA 90701-7047 | 2017-08-01 |
1487188629 | Jason P Lee | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2017-04-14 |
1396088233 | Jason Lee | Anesthesiology | 141 E 3rd St Apt 10c, New York, NY 10009-7309 | 2013-03-28 |
1679817431 | Jason M Lee | Pharmacist | 2939 Hylan Blvd, Staten Island, NY 10306-4057 | 2012-11-19 |
1770848046 | Jason Lee | Dentist | 9738 Katy Fwy Ste 400, Houston, TX 77055-6214 | 2012-07-11 |
1255617650 | Jason Lee | Specialist/Technologist | 33 Howell Ln, Riverhead, NY 11901-2436 | 2011-10-30 |
Street Address |
8150 OAKLANDON RD STE 130 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46236-9554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265945810 | Community Physicians of Indiana Inc | Podiatrist | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236-9554 | 2017-11-06 |
1770004954 | Michael Giffen | Family Medicine | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236-9554 | 2017-06-28 |
1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
1134554496 | Nikki Robin Suskovich | Optometrist | 10735 Pendleton Pike, C/o Wal-mart Vision Center, Indianapolis, IN 46236 | 2013-09-05 |
Find all providers in zip 46236 |
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 |
---|---|---|---|---|
1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46236 |
Please comment or provide details below to improve the information on JASON DANIEL 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.