JOHN K LEE (NPI# 1407885981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885981 |
| Entity Type | Individual |
| Full Name | JOHN K LEE |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202884930 |
| Practice Fax Number | 9202884941 |
| Mailing Telephone | 9209654055 |
| Mailing Fax Number | 9204055388 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
35836 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD | 300136760 | 01 |
| WI | 34296700 | 05 | |
| MI | 104455760 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169850 | John Lee | Acupuncturist | 14 E Homestead Ave, Palisades Park, NJ 07650-1533 | 2019-02-05 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1710409446 | John Hans Lee | Dentist | 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 | 2017-07-14 |
| 1750820700 | John Carlton Lee | Speech-Language Pathologist | 1261 N Laurel Ave Apt 3, West Hollywood, CA 90046-5131 | 2017-02-22 |
| 1154879401 | John Dongyeop Lee | Acupuncturist | 11 E 36th St Ste 901, New York, NY 10016-3368 | 2016-09-15 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1982071577 | John Jonghyun Lee | Physical Therapist | 2 River Street Ext Apt 10, Little Ferry, NJ 07643-1112 | 2015-08-31 |
| 1134511165 | John David Lee | Physical Therapy Assistant | 1552 Mariner Ct, Lakeland, FL 33803-4284 | 2015-02-27 |
| 1508261264 | John Keunhee Lee | Dentist | 3300 E 1st Ave Ste 580, Denver, CO 80206-5818 | 2014-10-23 |
| 1932549607 | John Jaewoo Lee | Dentist | 7599 Garth Rd Ste 800, Baytown, TX 77521-7720 | 2013-06-26 |
| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154634681 | Vincent Phillips Banker | Radiology | 7310 Wellauer Dr, Wauwatosa, WI 53213-3668 | 2010-07-26 |
| 1073953204 | Jing Qi | Radiology | 9200 W Wisconsin Avenue, Department of Radiology, Milwaukee, WI 53226-3522 | 2013-07-02 |
| 1912240086 | Krystyna Marie Jones | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-03-27 |
| 1316268360 | Ronald Jeffrey Schmitt | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2010-06-14 |
| 1801116306 | Amitjeet Kalirao | Radiology | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | 2010-06-07 |
| 1548290364 | Holland Ravelle | Radiology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-04 |
| 1003860305 | Hong Chen | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-20 |
| 1447201280 | Robert S Hellman | Radiology | 9200 W Wisconsin Ave, Dept of Radiology, Milwaukee, WI 53226-3522 | 2006-05-15 |
| 1982655734 | Arthur Z Krasnow | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-15 |
| 1487622056 | Michael A Wilson | Radiology | 600 Highland Ave, Madison, WI 53792 | 2006-03-09 |
| Find all providers with the same taxonomy | ||||
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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.