LEE A REA (NPI# 1558326009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558326009 |
| Entity Type | Individual |
| Full Name | LEE A REA |
| Credential | D.O. |
| Practice Address |
4047 Saladin Dr Se Grand Rapids MI 49546-6249 |
| Mailing Address |
4310 Leonard St Nw Suite 103 Walker MI 49534-8447 |
| Practice Telephone | 6169495342 |
| Mailing Telephone | 6164536329 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101006013 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1558326009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945953 | Lee K Rea | Nurse Practitioner | 3105 Cedar Ravine Rd, Ste 103, Placerville, CA 95667-6561 | 2006-08-29 |
| Street Address |
4047 SALADIN DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586164 | Michigan Urological Clinic | Urology | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-06-13 |
| 1831131226 | Michael R. Jarvis, Do PC | Surgery | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-06-12 |
| 1902845936 | Michael R. Jarvis | Surgery | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-06-05 |
| 1639118664 | Stephen F. Friedl | Surgery | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-06-05 |
| 1801854039 | Kenneth F Shockley | Urology | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-05-04 |
| 1679531669 | George G Carothers | Urology | 4047 Saladin Dr Se, Grand Rapids, MI 49546-6249 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013698 | Jake Anthony Nicholson | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503-2560 | 2019-06-27 |
| 1265927438 | Ivan Noffsker | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1427578004 | Kush Sharma | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2017-06-23 |
| 1154772515 | Joyce Lu | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2016-06-28 |
| 1790025898 | George Torao Sugiyama | Surgery | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2013-02-26 |
| 1194088120 | Lindsey Marie Korepta | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2012-06-25 |
| 1578859542 | Michelle Kosovec | Surgery | 310 Lafayette Ave Se, Suite 301, Grand Rapids, MI 49503-4693 | 2011-06-28 |
| 1700052230 | Michigan Medical PC | Surgery | 2093 Health Dr Sw, Grand Rapids, MI 49519-9691 | 2008-05-05 |
| 1306018528 | Michigan Medical Patient Care | Surgery | 4085 Burton St Se, Grand Rapids, MI 49546-2444 | 2008-03-27 |
| 1396954376 | Eanas S Yassa | Surgery | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on LEE A REA.
| 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.