DR. JUNG JIN LEE (NPI# 1467749473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467749473 |
| Entity Type | Individual |
| Full Name | DR. JUNG JIN LEE |
| Other Name | DR. JAMES LEE |
| Credential | MD |
| Practice Address |
390 Birch St Morgantown WV 26505 |
| Practice Telephone | 3042930741 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 27001 | WV | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 72859 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467707653 | Jung Joo Lee | Dentist | 5616 3rd Ave, Ferndale, WA 98248-8394 | 2012-07-13 |
| 1386904548 | Jung Min Lee | Student in an Organized Health Care Education/Training Program | 210 E 64th St Fl Center6, New York, NY 10065-7471 | 2012-05-22 |
| 1700151115 | Jung Gun Lee | Acupuncturist | 991 Arapahoe St Unit 406, Los Angeles, CA 90006-5839 | 2012-03-19 |
| 1346521200 | Jung Hyun Lee | Dentist | 280 N Central Ave Ste 420, Hartsdale, NY 10530-1842 | 2011-09-06 |
| 1528372182 | Jung A Lee | Pharmacist | 116-130 Broadway, Passaic, NJ 07055 | 2010-08-05 |
| 1518138874 | Jung Suk Lee | Acupuncturist | 8 Brookes Ave, Suite102, Gaithersburg, MD 20877-2753 | 2008-03-14 |
| 1841477379 | Jung Ik Lee | Dentist | 1139 Roxbury Dr, Westbury, NY 11590-5444 | 2008-01-28 |
| 1316169246 | Jung Eun Lee | Pharmacist | 4551 Forbes Blvd, Lanham, MD 20706 | 2007-05-02 |
| 1255491346 | Jung Lee | Dentist | 507 S Second Street, Champaign, IL 61820 | 2006-12-11 |
| 1114094703 | Jung Du Lee | Specialist | 220 Hamburg Tpke Ste 4a, Wayne, NJ 07470-2132 | 2006-11-29 |
| Street Address |
390 BIRCH ST |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194967430 | Leonard Robert Fina | General Practice | 30 Mast Road, Morgantown, PA 19543-0247 | 2009-04-01 |
| 1437369055 | Jeffrey David Lancaster | General Practice | Physician Office Center, 1 Medical Center Dr, Morgantown, WV 26506 | 2007-05-23 |
| 1124474689 | Sean M Hanlon | General Practice | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-13 |
| 1013302140 | Ryan Budwany | General Practice | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2015-04-06 |
| 1447487004 | Terring Heironimus | General Practice | 341 Spruce St, Morgantown, WV 26505 | 2009-06-22 |
| 1760689012 | Matthew Blair Ellison | General Practice | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-06-29 |
| 1285835678 | Meghann Elizabeth Mcgushin | General Practice | 1 Medical Center Drive, Box 9149, Morgantown, WV 26506-9149 | 2007-05-31 |
| 1588866818 | Gary James Miller | General Practice | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2007-05-31 |
| 1366653867 | Joseph Hahn | General Practice | Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-25 |
| 1013127638 | Mohammed Almubarak | General Practice | 1 Medical Center Drive, Morgantown, WV 26505 | 2007-05-23 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on DR. JUNG JIN 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.