MR. JAE SUNG LEE (NPI# 1689646259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689646259 |
| Entity Type | Individual |
| Full Name | MR. JAE SUNG LEE |
| Credential | MD |
| Practice Address |
5300 Military Rd Mount St Marys Hospital Lewiston NY 14092 |
| Mailing Address |
5290 Military Rd Ste 6 Lewiston NY 14092 |
| Practice Telephone | 7162974800 |
| Mailing Telephone | 7162972998 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 130958 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00589579 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637586 | Jae Myung Lee | Counselor | 1166 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2018-04-24 |
| 1477098887 | Jae Lee | Acupuncturist | 955 Armory Rd, Barstow, CA 92311-5461 | 2016-12-21 |
| 1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
| 1205241320 | Jae Lee | Acupuncturist | 12411 Osborne St, Unit 45, Pacoima, CA 91331-2000 | 2014-06-26 |
| 1386067155 | Jae S Lee | Acupuncturist | 14748 Roosevelt Ave Apt 1f, Flushing, NY 11354-4709 | 2014-01-29 |
| 1609217736 | Jae Bum Lee | Dentist | 401 S Glenoaks Blvd Ste 100, Burbank, CA 91502-2707 | 2013-07-17 |
| 1699026906 | Jae Hun Lee | Pharmacist | Providence St. Peter Hospital, 413 Lilly Road N.e., Department of Pharmacy, Olympia, WA 98506 | 2012-09-26 |
| 1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1366718934 | Jae Lee | Pharmacist | 25250 Pacific Highway S, Kent, WA 98032 | 2012-03-28 |
| Street Address |
5300 MILITARY RD MOUNT ST MARYS HOSPITAL |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
| 1184252751 | Mount St. Mary's Hospital of Niagara Falls | Internal Medicine | 5300 Military Rd, Lewiston, NY 14092-1903 | 2020-03-30 |
| 1023656717 | Andrea Panzuto | Occupational Therapist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-12-13 |
| 1356985790 | Sean Fetzer | Pharmacist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-10-29 |
| 1982261574 | Jennifer Lynn Lute | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-05-20 |
| 1700343936 | Sara Louise Baker | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-02-24 |
| 1194299388 | Sophia Lorenda Overton | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-01-22 |
| 1104303270 | Samantha Renee Goldbach | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1997 | 2018-07-23 |
| 1679059455 | Allison Marie Van Den Brand | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2018-07-16 |
| 1740631894 | Megan Kosmoski | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1376862896 | Mary Ann Bishara Md PC | Anesthesiology | 5290 Military Rd Ste 6, Lewiston, NY 14092-1953 | 2010-05-24 |
| 1255301479 | Aaron A Tebbs | Anesthesiology | 300 Main Street, Lewiston, ME 04240-7027 | 2006-01-23 |
| 1184093650 | Maria Kovaleva | Anesthesiology | 5300 Military Rd, Lewiston, NY 14092-1903 | 2015-09-15 |
| 1467864454 | Michael Barnes | Anesthesiology | 93 Campus Ave, Lewiston, ME 04240 | 2014-05-23 |
| 1033538343 | Jenna Suffoletto | Anesthesiology | 5300 Military Rd, Lewiston, NY 14092-1997 | 2014-04-15 |
| 1942553029 | Michael Kreymer Medicine PC | Anesthesiology | 5290 Military Rd, Suite 6, Lewiston, NY 14092-1953 | 2012-10-26 |
| 1306131735 | Jeffrey W Herrold Jr. | Anesthesiology | 300 Main St, Lewiston, ME 04240-7027 | 2011-06-14 |
| 1982995270 | Danielle Marin Gluck | Anesthesiology | 300 Main St, Lewiston, ME 04240-7027 | 2011-04-21 |
| 1811287352 | Kelsi Anne Froom | Anesthesiology | 415 6th St, St Joseph Regional Medical Center, Lewiston, ID 83501-2431 | 2011-04-18 |
| 1306074679 | Scott H. Mcquilkin | Anesthesiology | 300 Main St, Central Maine Medical Center, Lewiston, ME 04240-7027 | 2009-06-25 |
| Find all providers in LEWISTON | ||||
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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.