DR. ELLEN LYMAN LEE (NPI# 1679545446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679545446 |
| Entity Type | Individual |
| Full Name | DR. ELLEN LYMAN LEE |
| Credential | MD |
| Practice Address |
22 Station Ave Suite 101 Brunswick ME 04011-2092 |
| Practice Telephone | 2073736848 |
| Practice Fax Number | 2073736849 |
| Mailing Telephone | 2073736848 |
| Mailing Fax Number | 2073736849 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 70463 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD07436 | RI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 016522 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 5536582 | 01 | |
| ANTHEM | 047645 | 01 | |
| HARVARD PILGRIM | AA23786 | 01 | |
| RAILROAD MEDICARE | P00139414 | 01 | |
| AETNA | 3569097 | 01 | |
| ME | 406990099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326406331 | Ellen Lee | Advanced Practice Midwife | 306 Stoneridge Blvd, Asheville, NC 28804-8313 | 2016-02-04 |
| 1750657607 | Ellen Hyun-ju Lee | Pediatrics | 42-09 28th Street, 6th Floor, 2 Gotham Center, Cn 22a, Long Island City, NY 11101 | 2012-03-26 |
| 1740409770 | Ellen Lee | Dentist | 9311 3rd Ave, Brooklyn, NY 11209-6801 | 2007-04-25 |
| 1023029220 | Ellen Wonsun Lee | Dentist | 2111 W Patapsco Ave, Baltimore, MD 21230-2946 | 2006-08-11 |
| 1649806928 | Ellen Lee | Pharmacist | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-18 |
| 1659910362 | Ellen Lee | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-12-27 |
| 1962046714 | Ellen Kyungchae Lee | Physician Assistant | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2019-11-05 |
| 1912358656 | Ellen Brister Lee | Dentist | 1565 S Main St, Greenville, MS 38701-7005 | 2016-06-23 |
| 1306293824 | Ellen Lee | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 5.196, Houston, TX 77030-1501 | 2016-05-16 |
| 1417303728 | Ellen Lee | Pharmacist | 423 E Dundee Rd, Palatine, IL 60074-2813 | 2016-05-05 |
| Street Address |
22 STATION AVE SUITE 101 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659530418 | Karen Joan Ludwig | Nurse Practitioner | 22 Station Ave, Suite 101, Brunswick, ME 04011-2092 | 2008-06-06 |
| 1093980484 | Dirk Kokmeyer | Physical Therapist | 22 Station Ave, Brunswick, ME 04011-2092 | 2008-04-25 |
| 1639194376 | Allan Jay Kaplan | Family Medicine | 22 Station Ave, Suite 101, Brunswick, ME 04011-2092 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124465588 | Bianca Rae Pope | Family Medicine | 3010 Altama Ave, Brunswick, GA 31520-4607 | 2013-05-25 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1952531493 | Richard P Mcewan | Family Medicine | 160 Juniper Ct Ste 101, Brunswick, GA 31520-1952 | 2009-07-17 |
| 1972775815 | Best Care Solutions, Corp | Family Medicine | 1825 Glynn Ave Ste 50, Brunswick, GA 31520-6107 | 2008-04-01 |
| 1417152737 | Golden Isles Family Medicine | Family Medicine | 114 Northpark Drive, Brunswick, GA 31520 | 2007-06-18 |
| 1700091030 | Jacqueline Marie Caldwell | Family Medicine | 7 Farley Rd, Brunswick, ME 04011 | 2007-05-11 |
| 1821200502 | Larry Keith Laclair | Family Medicine | 25 Macmillan Drive, Brunswick, ME 04011-3222 | 2007-05-04 |
| 1912056474 | Family Practitioners of Glynn, PC | Family Medicine | 390 Eh Ct, Brunswick, GA 31520-2198 | 2007-01-10 |
| 1588720601 | Patsy Mitchell | Family Medicine | 118 Northpark Dr, Brunswick, GA 31520-2111 | 2007-01-01 |
| Find all providers in BRUNSWICK | ||||
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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.