BRIAN LEE (NPI# 1447679212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447679212 |
| Entity Type | Individual |
| Full Name | BRIAN LEE |
| Credential | MD |
| Practice Address |
450 Garrisonville Rd Ste 109 Stafford VA 22554-1615 |
| Mailing Address |
15512 Moravia Ct Derwood MD 20855-2716 |
| Practice Telephone | 0352227277 |
| Practice Fax Number | 7035423753 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 0101266701 | VA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0101266701 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11230 Waples Mill Rd Ste 114c, Fairfax, VA 220305026 | 7035222727 | 7035423753 |
| 1715 N George Mason Dr Ste 102, Arlington, VA 222053637 | 7035222727 | 7035423753 |
| 2296 Opitz Blvd Ste 210, Woodbridge, VA 221913345 | 7035222727 | 7035423753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296598 | Brian Kisub Lee | Chiropractor | 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 | 2019-03-28 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1477094795 | Brian P Lee | Dentist | 1616 Range Ct, Diamond Bar, CA 91765-4318 | 2017-03-20 |
| 1174065429 | Brian Lee | Student in an Organized Health Care Education/Training Program | 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 | 2016-11-16 |
| 1366807992 | Brian Jin Han Lee | Pharmacist | 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 | 2015-12-28 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1508267527 | Brian Lee | Dentist | Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 | 2014-09-09 |
| 1891114377 | Brian Jinho Lee | Student in an Organized Health Care Education/Training Program | 256 S Durham St, Baltimore, MD 21231-2605 | 2014-04-10 |
| 1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
| Street Address |
450 GARRISONVILLE RD STE 109 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386895860 | Kathleen Ann Gorham | Nurse Practitioner | 450 Garrisonville Rd Ste 109, Stafford, VA 22554-1532 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821221 | Virginia Innovative Pain and Spine | Anesthesiology | 2532 Mill Rd, Powhatan, VA 23139-5203 | 2016-02-23 |
| 1285919472 | Pca Pain Care Center of Virigina, Inc | Anesthesiology | 825 Davis St # E, Blacksburg, VA 24060-7013 | 2011-10-19 |
| 1659667327 | Parviz Navidi | Anesthesiology | 899 Chinquapin Rd, Mc Lean, VA 22102-1039 | 2011-06-21 |
| 1013165331 | Cody Rowan | Anesthesiology | 575 Ray C Hunt Dr, Charlottesville, VA 22903 | 2008-08-28 |
| 1619149648 | Professional Anesthesia Group, LLC | Anesthesiology | 1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231 | 2008-03-31 |
| 1881875920 | Memorial Anesthesia, LLC | Anesthesiology | 8262 Atlee Rd., Mob 3 #100, Mechanicsville, VA 23116 | 2007-11-16 |
| 1073708566 | Joseph Kevin Statkus | Anesthesiology | 106 Keswick Ct, Winchester, VA 22602-7807 | 2007-09-08 |
| 1043403504 | Nova Pain Clinic Inc | Anesthesiology | 6151 Fuller Ct, Alexandria, VA 22310-2541 | 2007-08-19 |
| 1144340514 | John C. Rowlingson | Anesthesiology | 2nd Hospital Dr, Charlottesville, VA 22908-0001 | 2007-03-30 |
| 1356469522 | Chheany Walter Ung | Anesthesiology | 3800 Electric Rd, Suite 307, Roanoke, VA 24018-4569 | 2007-03-27 |
| 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.