MR. MATTHEW KERMIT LEE


Address: 465 Trout Ave, Numi, Groton, CT 06340
Phone: 6806666666

MR. MATTHEW KERMIT LEE (NPI# 1770932220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770932220
Entity Type Individual
Full Name MR. MATTHEW KERMIT LEE
Credential IDC
Practice Address 465 Trout Ave
Numi
Groton
CT 06340
Practice Telephone 6806666666
Enumeration Date 2016-06-06
Last Update Date 2016-06-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MATTHEW LEE

NPI Name Taxonomy Address Enumeration
1730738576 Matthew Wesley Lee Physical Therapist 7111 Medical Center Dr Ste 111, Texas City, TX 77591-2667 2019-09-04
1265958847 Matthew Lee Specialist/Technologist 950 Blaine St, Los Angeles, CA 90015-1220 2017-08-16
1093254369 Matthew Lee Chiropractor 14000 Park Center Rd, Herndon, VA 20171-3227 2017-02-19
1326595612 Matthew C. Lee Counselor 4 Summer Ln, Marlborough, CT 06447-1462 2016-09-05
1255793568 Matthew Lee Student in an Organized Health Care Education/Training Program 14106 Manderson Plz, 204, Omaha, NE 68164-6288 2016-03-25
1023421435 Matthew Lee Dentist 2525 W 16th St Ste A, Greeley, CO 80634-4951 2014-06-04
1780893917 Matthew C Lee Pharmacist 1617 Monument Ave Ste 302, Richmond, VA 23220-2943 2007-05-22
1356408470 Matthew Jonghyock Lee Dentist 306 Broad Ave Suite 2c, Palisades Park, NJ 07650 2007-01-02
1649359613 Matthew J Lee Physical Therapist 102 Williams Rd, Nicholasville, KY 40356-1917 2006-11-02
1710915996 Matthew D Lee Physician Assistant 9 Richland Medical Park, Suite 505, Columbia, SC 29203-6844 2006-06-28

Office Location

Street Address 465 TROUT AVE
NUMI
City GROTON
State CT
Zip Code 06340

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912558610 Bruce Lancel Bernardo Lara Military Health Care Provider Fpo, Ae, 09587-2417, Groton, AE 06340 2019-09-24
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1265906911 Homelife Companions and Homemakers, LLC Adult Companion 1 Fort Hill Road, Suite 3, Groton, CT 06340 2019-01-16
1144735457 Kristina Marie Carta Behavior Technician 220 Rt 12, Suite 205, Groton, CT 06340 2017-12-08
1538674262 Tercel Dental Pllc Dentist 643 Gold Star Hwy., Groton, CT 06340 2017-12-04
1306361662 Stonington Behavioral Health Inc Psychologist 618 Poquonnock Rd, Groton, CT 06340 2017-08-08
1104347806 Renae Reynolds Optometrist 489 Gold Star Hwy Ste 100, Groton, CT 06340 2017-07-03
1053831552 Susan A Bradbury Physical Therapist 455 Eastern Point Rd, Groton, CT 06340 2017-06-26
Find all providers in zip 06340

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063052819 Kenny Daniel Harp Military Health Care Provider 59 Deerwood Dr, Groton, CT 06340-2513 2020-01-09
1982244737 Lonnie Jay Reardon Military Health Care Provider 55 South Rd Apt 12c, Groton, CT 06340-4660 2020-01-09
1376194274 Christopher Lee Roy Smith Military Health Care Provider Uss San Juan (ssn 751), Groton, CT 06349 2019-09-23
1679132112 Hector Salvador Gonzalez Military Health Care Provider 2 Bushnell St, Groton, CT 06340-3306 2019-06-09
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1558929026 Joshua Darren Savage Military Health Care Provider 35 Chrissos St, Groton, CT 06340-3307 2019-05-30
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1689179640 David Saunders Military Health Care Provider 159 Navsubase Nlon, Groton, CT 06349 2018-03-29
1992241228 Phillip Lawernce Hardy Sr. Military Health Care Provider 123 Trout Ave, Naval Undersea Medical Institiute, Groton, CT 06340-5159 2017-01-10
Find all providers in GROTON

Competitor

Search similar providers

City GROTON
Zip Code 06340

Improve Information

Please comment or provide details below to improve the information on MR. MATTHEW KERMIT LEE.

Dataset Information

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.

Trending Searches