DR. KEN W LEE (NPI# 1841259348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841259348 |
| Entity Type | Individual |
| Full Name | DR. KEN W LEE |
| Credential | M.D. |
| Practice Address |
8725 N Wickham Rd Ste 302 Melbourne FL 32940-2240 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3214349230 |
| Practice Fax Number | 3214349231 |
| Mailing Telephone | 3214341981 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME133936 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | JD812Z | 01 |
| FL | 022559000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271701 | Ken Woo Lee | Pharmacist | 2232 Pitkin Ave, Pharmacy Dept, Brooklyn, NY 11207-3621 | 2007-12-13 |
| 1013440643 | Ken Wing Kin Lee | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2017-04-11 |
| 1740462233 | Ken P Lee | Internal Medicine | 2740 Pacific Ave Se, Olympia, WA 98501-2037 | 2007-11-27 |
| 1407864937 | Ken Kyung-hoon Lee | Dermatology | 1414 Nw Northrup St Ste 600, Portland, OR 97209 | 2006-08-03 |
| 1336169994 | Ken K Lee | Anesthesiology | 420 34th St, Bakersfield, CA 93301-2237 | 2006-07-19 |
| Street Address |
8725 N WICKHAM RD STE 302 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851245 | James M. Ronaldson | Internal Medicine | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2005-12-07 |
| 1710588363 | Karsyn Lovretin | Internal Medicine | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2020-11-02 |
| 1992228555 | Megan Brooke Hambel | Nurse Practitioner | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2017-07-25 |
| 1437602125 | Ashleigh Anne Auth | Physician Assistant | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2016-07-28 |
| 1568880466 | Suzanne Schoenrock | Nurse Practitioner | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2014-03-29 |
| 1639451024 | Belinda L Thompson | Nurse Practitioner | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2011-09-13 |
| 1093926396 | Carey K Andreoiu | Obstetrics & Gynecology | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2007-05-25 |
| 1639278427 | Khalid H Sheikh | Internal Medicine | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588363 | Karsyn Lovretin | Internal Medicine | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2020-11-02 |
| 1669440632 | Alexies Ramirez | Internal Medicine | 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 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.