DR. ROBERT A LEE (NPI# 1417958489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958489 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A LEE |
| Credential | MD |
| Practice Address |
5501 Nw 86th St Suite 300 Johnston IA 50131 |
| Mailing Address |
7147 Vista Dr Ste 150 West Des Moines IA 50266-9313 |
| Practice Telephone | 5158759035 |
| Practice Fax Number | 5158759036 |
| Mailing Telephone | 5158759925 |
| Mailing Fax Number | 5158759923 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-28131 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1033773700 | Robert John Lee | Dentist | 3860 Grand Ave, Chino, CA 91710-5402 | 2019-04-27 |
| 1730689498 | Robert Lacgaspi Lee | Technician | 5586 La Perla Ct, Las Vegas, NV 89122-8390 | 2018-02-19 |
| 1508263138 | Robert Lee | Naturopath | 10 Cornwall Ln, Trumbull, CT 06611-2211 | 2014-11-25 |
| 1629484498 | Robert Lee II | Counselor | 525 Nw Lake Whitney Pl Ste 102&103, Port Saint Lucie, FL 34986-1605 | 2014-07-01 |
| 1679839385 | Robert Lee | Psychiatry & Neurology | 23041 Avenida De La Carlota, Laguna Hills, CA 92653-1511 | 2012-04-06 |
| 1801180807 | Robert Lee | Dermatology | 2438 N Ponderosa Dr Ste C105, Camarillo, CA 93010-2465 | 2011-06-07 |
| 1780900522 | Robert Seungmin Lee | Chiropractor | 2 Comet Rd, Syosset, NY 11791-6909 | 2010-04-19 |
| 1528291267 | Robert Ken Lee | Optometrist | 1040b East Imperial Highway, Brea, CA 92821 | 2009-08-28 |
| 1912141169 | Robert M Lee | Acupuncturist | 466 W Summerfield Cir, Anaheim, CA 92802-4778 | 2009-04-30 |
| Street Address |
5501 NW 86TH ST SUITE 300 |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184166076 | Metro Eyecare Associates LLC | Optometrist | 5501 Nw 86th St, Suite 500, Johnston, IA 50131-1816 | 2016-11-09 |
| 1114279866 | Jay D Petersma Od PC | Optometrist | 5501 Nw 86th St, Ste 500, Johnston, IA 50131-1816 | 2012-10-04 |
| 1215222898 | Misti Lee Borgestad | Nurse Practitioner | 5501 Nw 86th St, Johnston, IA 50131-1816 | 2011-06-13 |
| 1326183831 | Lee & Ruisch Family Medicine Physicians PC | Family Medicine | 5501 Nw 86th St, Suite 300, Johnston, IA 50131-1816 | 2007-02-21 |
| 1326148933 | Jay D Petersma | Optometrist | 5501 Nw 86th St, Suite 500, Johnston, IA 50131-1816 | 2006-09-24 |
| 1619936382 | Elizabeth Louise Jauron | Family Medicine | 5501 Nw 86th St, Ste 300, Johnston, IA 50131 | 2006-03-21 |
| 1588647820 | John Gregory Amspaugh | Family Medicine | 5501 Nw 86th St, Ste 300, Johnston, IA 50131 | 2005-11-21 |
| 1003817073 | Abbie D Ruisch | Family Medicine | 5501 Nw 86th St, Suite 300, Johnston, IA 50131 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| Find all providers in zip 50131 | ||||
| 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 |
|---|---|---|---|---|
| 1326575317 | Tyler Steven Olson | Family Medicine | 5501 Nw 86th St Ste 300, Johnston, IA 50131-1810 | 2017-05-22 |
| 1134499742 | Thomas Charles Evans | Family Medicine | 7005 Nw Beaver Dr, Johnston, IA 50131-1249 | 2012-01-12 |
| 1467683227 | Constantine Vafidis | Family Medicine | 1524 Atwood Ave Ste 225, Johnston, RI 02919-3228 | 2009-07-28 |
| 1073738902 | Danny Paul Smith | Family Medicine | 7105 Nw 70th Ave, Johnston, IA 50131-1824 | 2007-04-16 |
| 1952423469 | Matthew John Byrnes | Family Medicine | 5800 S Winwood Dr, Johnston, IA 50131-1616 | 2007-04-04 |
| 1013963818 | Jason K Austin | Family Medicine | 1524 Atwood Ave Ste 220, Johnston, RI 02919-3278 | 2006-05-25 |
| 1700846474 | Mark Edward Jones | Family Medicine | 5900 Nw 86th St Ste 100, Johnston, IA 50131-2284 | 2006-03-25 |
| 1366425274 | Iowa Physicians Clinic Medical Foundation | Family Medicine | 8101 Birchwood Ct, Suite N, Johnston, IA 50131-2930 | 2005-11-23 |
| 1366433310 | Scott R Meyer | Family Medicine | 5900 Nw 86th St, Ste 100, Johnston, IA 50131-2284 | 2005-10-31 |
| 1063051183 | Physician Management Services of Iowa, LLC | Family Medicine | 5501 Nw 86th St Ste 300, Johnston, IA 50131-1810 | 2020-01-06 |
| Find all providers in JOHNSTON | ||||
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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.