DR. PETER LEE JR. (NPI# 1740253020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740253020 |
| Entity Type | Individual |
| Full Name | DR. PETER LEE JR. |
| Credential | M.D. |
| Practice Address |
3022 Williams Dr Suite 301 Fairfax VA 22031-4600 |
| Practice Telephone | 7036988960 |
| Practice Fax Number | 7036418427 |
| Mailing Telephone | 7036988960 |
| Mailing Fax Number | 7036418427 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
0101055321 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6713718 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474644 | Peter Lee | Emergency Medical Technician, Basic | 021 Sw Bancroft St, Portland, OR 97239-4064 | 2020-07-15 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1326585688 | Peter Lee | Pharmacist | 12988 68th St Se, Lisbon, ND 58054-9797 | 2017-01-25 |
| 1669821633 | Peter B Lee | Dentist | 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 | 2016-06-09 |
| 1629320007 | Peter Uy Lee | Otolaryngology | 1341 Boundary Rd, Middleton, WI 53562-3843 | 2012-10-09 |
| 1477803864 | Peter Lee | Dentist | 2428 Manoa Rd, Honolulu, HI 96822-1902 | 2012-09-13 |
| 1205166386 | Peter B Lee | Optometrist | 4518 186th St, #110, Redondo Beach, CA 90278-4669 | 2010-01-12 |
| 1306173133 | Peter A Lee | Hearing Instrument Specialist | 745 S Main St, Lebanon, OR 97355-3209 | 2009-11-16 |
| 1134374275 | Peter K Lee | Internal Medicine | 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 | 2008-11-17 |
| 1194989251 | Peter Kang Woo Lee | Physical Medicine & Rehabilitation | 16611 65th Avenue, Fresh Meadows, NY 11365-1917 | 2008-07-17 |
| Street Address |
3022 WILLIAMS DR SUITE 301 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731822 | Sheryl Kongstvedt | Psychologist | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2015-02-04 |
| 1316283914 | Christiane Gallen Davenport | Nurse Practitioner | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2012-12-31 |
| 1972860807 | Hematology Oncology Care of Northern Virginia PC | Internal Medicine | 3022 Williams Dr, Suite 100, Fairfax, VA 22031-4600 | 2012-04-17 |
| 1346526191 | Kathleen Rodgers | Dietitian, Registered | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2011-10-25 |
| 1831410497 | Thania Violeta Lamirand | Emergency Medicine | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2010-06-17 |
| 1326279043 | Bhavika Amin | Nurse Practitioner | 3022 Williams Dr, #300, Fairfax, VA 22031-4600 | 2009-07-29 |
| 1538308978 | Candice M. Driscoll | Physician Assistant | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2009-02-09 |
| 1285884007 | Min Jin Jung Detrick | Physician Assistant | 3022 Williams Dr, 300, Fairfax, VA 22031-4600 | 2008-09-29 |
| 1982871588 | Seyeda Masomeh Abedi | Internal Medicine | 3022 Williams Dr, Suite 300, Fairfax, VA 22031-4600 | 2008-05-13 |
| 1225221096 | Washington Radiology Associates, Pllc | Specialist | 3022 Williams Dr, Ste 204, Fairfax, VA 22031-4600 | 2007-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083885214 | Benjamin Isaac Enav | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2008-03-15 |
| 1205884368 | Gastroenterology Associates of Northern Virginia, LLC | Pediatrics | 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 | 2006-05-04 |
| 1164779682 | Benjamin I. Enav, Md, LLC | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2012-08-14 |
| 1477810208 | Grace Milad Felix | Pediatrics | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2012-04-18 |
| 1427283472 | Stefany H Garrity | Pediatrics | 3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207 | 2009-05-20 |
| 1851322424 | Natalie A Sikka | Pediatrics | 8505 Arlington Blvd, Suite 400, Fairfax, VA 22031-4621 | 2006-07-05 |
| 1124094933 | Otto Louis-jacques | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-23 |
| 1790759124 | Lynn F Duffy | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-14 |
| 1184697443 | Catherine S Chao | Pediatrics | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548529126 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2012-05-16 |
| 1407908445 | Mahendra D.shah,m.d.& Associates,p.c. | Pediatrics | 4207 Whitford Ct, # 1703, Glen Allen, VA 23060-4138 | 2007-01-18 |
| 1154430916 | Juan C Olazagasti | Pediatrics | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2006-08-29 |
| 1881625408 | Juan F Villalona | Pediatrics | 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 | 2006-07-05 |
| 1174517478 | Scott Michael Sirlin | Pediatrics | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2005-09-01 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
| 1922325919 | Pediatric Gastroenterology of Richmond, P.C. | Pediatrics | 7229 Forest Ave, Suite 105, Richmond, VA 23226-3765 | 2010-04-29 |
| 1366769705 | Michael V. Mendoza | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-04-26 |
| 1780909085 | Kathleen A. Moyer | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2010-03-30 |
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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.