SUNG W LEE (NPI# 1679535983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679535983 |
| Entity Type | Individual |
| Full Name | SUNG W LEE |
| Credential | M.D. |
| Practice Address |
7610 Carroll Ave Suite 280 Takoma Park MD 20912 |
| Practice Telephone | 3018916574 |
| Practice Fax Number | 3018916222 |
| Mailing Telephone | 3018916574 |
| Mailing Fax Number | 3018916222 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0037960 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
D37960 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 883460101 | 05 | |
| DC | BCBS OF DC INDIVIDUAL # | 0015 | 01 |
| DC | BCBS OF DC GROUP NUMBER | 4787 | 01 |
| MD | BCBS OF MD INDIVIDUAL # | 53533702 | 01 |
| MD | BCBS OF MD GROUP NUMBER | H830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268227 | Sung Hyun Lee | Registered Nurse | 4800 Hanover Dr, Flower Mound, TX 75028-7324 | 2020-02-28 |
| 1114438637 | Sung Kwang Lee | General Practice | 2801 Falcon Ridge, Clermont, FL 34711 | 2017-10-24 |
| 1720471196 | Sung H Lee | Social Worker | 1150 N Knollwood Cir, Anaheim, CA 92801-1307 | 2015-03-10 |
| 1740687110 | Sung Lee | General Practice | 2918 Pasture Ln, Sugar Land, TX 77479-1845 | 2014-12-01 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1992139075 | Sung Bok Lee | Acupuncturist | 80-18 221street, Queens Village, NY 11427 | 2013-08-26 |
| 1104140532 | Sung K Lee | Pharmacist | 750 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-13 |
| 1063671568 | Sung W Lee | Dentist | 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709-7941 | 2008-06-09 |
| 1093983660 | Sung S Lee | Physical Therapist | 6860 Commercial Dr, Unit C, Springfield, VA 22151-4201 | 2008-02-15 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Street Address |
7610 CARROLL AVE SUITE 280 |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205398 | Smith S. Ho, Md, Pa | Internal Medicine | 7610 Carroll Ave, Ste 280, Takoma Park, MD 20912-6302 | 2005-06-14 |
| 1508409541 | Amanda Polhemus | Nurse Practitioner | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2019-10-22 |
| 1073055950 | Adventist Physician Services, Inc. | Clinic/Center | 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912-6384 | 2016-11-09 |
| 1104287036 | Chinatu P. Ego-osuala LLC | Dentist | 7610 Carroll Ave, 480, Takoma Park, MD 20912-6384 | 2016-03-20 |
| 1235504150 | Meaghan Butler | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-12-03 |
| 1386017119 | Lauren Schmittle | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-11-02 |
| 1659752467 | Marcellus R. Cephas Md LLC | Counselor | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6384 | 2015-06-17 |
| 1255730131 | Conni Nevills | Nurse Practitioner | 7610 Carroll Ave, Suite 400, Takoma Park, MD 20912-6384 | 2014-08-18 |
| 1790192656 | Leela A Chacko Md LLC | Clinic/Center | 7610 Carroll Ave, Suite 390, Takoma Park, MD 20912-6384 | 2014-07-12 |
| 1659701027 | Paul R O'keeffe | Social Worker | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6312 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710174172 | Prakash Goutham Beleyur Suryanarayana | Internal Medicine | 106 Milford St Ste 605, Salisbury, MD 21804-6938 | 2007-10-01 |
| 1518902212 | Bulent R Zaim | Internal Medicine | 1204 West St, Annapolis, MD 21401-3610 | 2006-06-17 |
| 1487118048 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-01-29 |
| 1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
| 1952736886 | Lifebridge Community Physicians Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 401, Baltimore, MD 21215-5228 | 2013-09-11 |
| 1295168789 | Baltimore Arrhythmia Consultants Pa | Internal Medicine | 600 Reisterstown Rd, Suite 301, Pikesville, MD 21208-5104 | 2013-08-20 |
| 1649553942 | Arrhythmia Associates of Maryland | Internal Medicine | 2000 W Baltimore St, 2nd Floor, Baltimore, MD 21223-1558 | 2011-09-22 |
| 1174815807 | Lifebridge Community Physicians, Inc | Internal Medicine | 1838 Greene Tree Rd, Suite 535, Pikesville, MD 21208-6391 | 2011-05-13 |
| 1518269554 | Chesapeake Cardiovascular Specialists PC | Internal Medicine | 128 Lubrano Dr, Suite 201, Annapolis, MD 21401-7028 | 2010-11-24 |
| 1669774808 | Heart Rhythm Specialists | Internal Medicine | 7501 Surratts Rd, 208a, Clinton, MD 20735-3362 | 2010-11-19 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
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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.