SU CHERL LEE (NPI# 1447293659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293659 |
| Entity Type | Individual |
| Full Name | SU CHERL LEE |
| Credential | M.D. |
| Practice Address |
3827 Blenheim Rd Phoenix MD 21131-2101 |
| Practice Telephone | 4105925332 |
| Mailing Telephone | 4105925332 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D18909 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 18570-30T | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609092725 | Su Ji Lee | Dentist | 731 Duval Station Rd, 115, Jacksonville, FL 32218 | 2007-04-17 |
| 1386766723 | Su Huei Lee | Technician/Technologist | 2447 W Valley Blvd, Alhambra, CA 91803-1933 | 2007-04-05 |
| 1871510370 | Su Kin Lee | Internal Medicine | 1418 S San Gabriel Blvd., Suite C, San Gabriel, CA 91776 | 2006-07-17 |
| 1649711607 | Su Jung Lee | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2017-03-10 |
| 1881080083 | Su Jung Lee | Dentist | 6401 New York Ave Unit 155, Arlington, TX 76018-3175 | 2015-04-14 |
| 1427207273 | Su Kyong Lee | Dentist | 13822 San Antonio Dr, Norwalk, CA 90650-4033 | 2008-09-17 |
| Street Address |
3827 BLENHEIM RD |
| City | PHOENIX |
| State | MD |
| Zip Code | 21131-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114118387 | Mina Kirkova | Social Worker | 3009 Jackson Ridge Ct, Phoenix, MD 21131 | 2007-08-05 |
| 1629101381 | Kenneth Barry Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-13 |
| 1508999798 | Nancy Lee Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-14 |
| 1093977134 | Amy Ruth Rakusin | Counselor | 10 Cross Creek Ct, Phoenix, MD 21131-1000 | 2008-06-30 |
| 1932493616 | Kenneth Sharoff, Phd Inc. | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131-1000 | 2011-05-31 |
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1528482643 | Charles Warnke | Speech-Language Pathologist | 13 Stonewood Ct, Phoenix, MD 21131-1116 | 2014-02-10 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1952775694 | Aileen Mccausland | Occupational Therapy Assistant | 2515 Stockton Rd, Phoenix, MD 21131-1127 | 2015-11-18 |
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| Find all providers in zip 21131 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1770727323 | John Tyler French | Otolaryngology | 1010 E Mcdowell Rd Ste 200, Phoenix, AZ 85006-2608 | 2009-04-27 |
| 1366619405 | Max Lindbergh Wertz | Otolaryngology | 1516 E Hamblin Dr, Phoenix, AZ 85050 | 2008-05-08 |
| 1790971307 | Arizona Sinus and Ent Associates PC | Otolaryngology | 1515 N 9th Street B, Phoenix, AZ 85006-2523 | 2007-09-18 |
| 1912113085 | Joseph Ahlstrom Chiara | Otolaryngology | 3806 East Bell Road, Suite 5800, Phoenix, AZ 85032-2160 | 2007-05-15 |
| 1902018831 | James Chuang PC | Otolaryngology | 5110 E Warner Rd Ste 210, Phoenix, AZ 85044 | 2007-05-04 |
| 1861561011 | Jose L Robledo | Otolaryngology | 15835 S 46th St, Suite 132, Phoenix, AZ 85048-0446 | 2006-11-06 |
| 1043238744 | Charles R Orozco | Otolaryngology | 4250 E Camelback, Suite K-250, Phoenix, AZ 85018-8301 | 2006-07-18 |
| 1457317356 | Mark E Baldree | Otolaryngology | 4250 E Camel Back Rd, Suite K250, Phoenix, AZ 85018 | 2006-04-21 |
| Find all providers in PHOENIX | ||||
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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.