DR. THADDEUS C LEE (NPI# 1780665331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780665331 |
| Entity Type | Individual |
| Full Name | DR. THADDEUS C LEE |
| Credential | MD |
| Practice Address |
701 Randolph St Suite 120 Radford VA 24141-3047 |
| Practice Telephone | 5407313200 |
| Practice Fax Number | 5406391048 |
| Mailing Telephone | 5407313200 |
| Mailing Fax Number | 5406391048 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101-027425 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5623511 | 05 |
| Street Address |
701 RANDOLPH ST SUITE 120 |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152913 | Carilion New River Valley Medical Center | Hospice Care, Community Based | 701 Randolph St, Suite 110, Radford, VA 24141-3047 | 2005-08-31 |
| 1710084884 | Athena A Howard Md PC | Internal Medicine | 701 Randolph St, Suite 210, Radford, VA 24141-3047 | 2006-09-20 |
| 1265413892 | April L Wilson | Nurse Practitioner | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1760463301 | Scott A Kincaid | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| 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 |
|---|---|---|---|---|
| 1447286265 | Thomas Fritz Knisely | Family Medicine | 514 Adams St, Radford, VA 24142-6899 | 2006-06-23 |
| 1326095100 | Rania Bajwa Rosborough | Family Medicine | 614 E Main St Ste B, Radford, VA 24141-1818 | 2006-05-27 |
| 1922089556 | Daniel R Kelly | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1962496018 | Stephen A. Beese | Family Medicine | 110 7th St, Radford University Student Health Center, Radford, VA 24141-2410 | 2005-09-06 |
| 1720085392 | Charles Raeburn Judy | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2005-06-28 |
| 1861888927 | Benjamin Henry Morgan | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141 | 2015-04-15 |
| 1386802031 | Radford Family Medicine LLC | Family Medicine | 600 E Main St, Suite D, Radford, VA 24141-1826 | 2008-05-29 |
| 1588747562 | Crj Physician Services | Family Medicine | 700 Randolph St, Radford, VA 24141-2430 | 2006-10-23 |
| 1740393891 | Family Health Clinic, Inc. | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2006-08-15 |
| 1760463301 | Scott A Kincaid | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| Find all providers in RADFORD | ||||
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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.