DR. EVAN W. LEE JR. (NPI# 1740353432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740353432 |
| Entity Type | Individual |
| Full Name | DR. EVAN W. LEE JR. |
| Credential | D.O. |
| Practice Address |
645 E 5th St Weiser ID 83672-2202 |
| Mailing Address |
4500 W Escalante Dr Eagle ID 83616-4470 |
| Practice Telephone | 2085490370 |
| Mailing Telephone | 8086518846 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DOS-997 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 0000242321 | 01 |
| HI | UHA | 111156 | 01 |
| HI | 538332 01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663376 | Evan Hyunho Lee | Dentist | 2100 Dixwell Ave, Hamden, CT 06514-2406 | 2017-08-01 |
| 1285095133 | Evan Lee | Pharmacist | 2191 Niles St, Bakersfield, CA 93305-5168 | 2016-03-18 |
| 1861484339 | Evan Lee | Anesthesiology | 805 Pamplico Hwy, Florence, SC 29505-6019 | 2005-08-19 |
| Street Address |
645 E 5TH ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265903983 | Andrea Wheeler | Nurse Practitioner | 645 E 5th St, Weiser, ID 83672-2202 | 2018-12-06 |
| 1932650561 | Weiser Memorial Surgical Clinic | Specialist | 645 E 5th St, Weiser, ID 83672-2202 | 2016-10-19 |
| 1326475617 | Janice Elaine Grimaldo | Speech-Language Pathologist | 645 E 5th St, Weiser, ID 83672-2202 | 2013-10-01 |
| 1801095492 | Memorial Hospital | Nurse Practitioner | 645 E 5th St, Weiser, ID 83672-2202 | 2007-07-13 |
| 1902003858 | Memorial Hospital | General Acute Care Hospital | 645 E 5th St, Weiser, ID 83672-2202 | 2007-07-02 |
| 1720282866 | Memorial Hospital - Er Physicians | General Acute Care Hospital | 645 E 5th St, Weiser, ID 83672-2202 | 2007-06-13 |
| 1639373772 | Memorial Hospital - Radiology | General Acute Care Hospital | 645 E 5th St, Weiser, ID 83672-2202 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| Find all providers in zip 83672 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1972914406 | Jonathan Robert Jerkins | Emergency Medicine | 700 W Ironwood Dr Ste 155, Coeur D Alene, ID 83814-4462 | 2014-05-19 |
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1124306295 | Austin Heath Rasmussen | Emergency Medicine | 637 Pine St, Gooding, ID 83330-1755 | 2011-07-23 |
| 1962799460 | Tyler James Harris | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
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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.