DR. JUSTIN LEE (NPI# 1841421948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841421948 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN LEE |
| Credential | MSC., MSC., M.D., |
| Practice Address |
1 Good Samaritan Way Mount Vernon IL 62864-2402 |
| Mailing Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 1889938696 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036144067 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 51528 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331702 | Justin Youngzi Lee | Student in an Organized Health Care Education/Training Program | University of New Mexico - Neurosurgery, Albuquerque, NM 87131-0001 | 2019-05-14 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669963484 | Justin Mark Lee | Physical Therapist | 277 Wilshire Ave, Daly City, CA 94015-1037 | 2018-05-29 |
| 1861752792 | Justin Mcavoy Lee | Speech-Language Pathologist | 145 Summerfield Rd, Shelburne, VT 05482-7818 | 2012-05-25 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1740486232 | Justin Lee | Chiropractor | 18904 Highway 99 Ste Q, Lynnwood, WA 98036-5219 | 2007-06-22 |
| 1104913425 | Justin Thien Lee | Obstetrics & Gynecology | 500 Old River Rd Ste 200, Bakersfield, CA 93311 | 2006-10-06 |
| 1881616332 | Justin S Lee | Dentist | 3250 14th Ave Nw Ste A, Olympia, WA 98502-8546 | 2006-07-24 |
| 1225078579 | Justin Cheuk-fun Lee | Internal Medicine | 209 Mlk Jr Way, Department of Cardiology, Tacoma, WA 98405 | 2006-06-07 |
| 1366062721 | Justin Lee | Pharmacist | 3487 N Stockton Hill Rd, Kingman, AZ 86409-3681 | 2020-04-25 |
| Street Address |
1 GOOD SAMARITAN WAY |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609184 | Kent S Quinn | Radiology | 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864-2402 | 2005-09-14 |
| 1407470206 | Brittany L Jerger | Registered Nurse | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2020-06-08 |
| 1407418619 | Annie Rae Lowery | Registered Nurse | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2019-07-08 |
| 1366951436 | Roxanna Elise Stevens | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-09-21 |
| 1871022095 | Mathavi Sahadevan | Internal Medicine | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-06-09 |
| 1326589680 | Amber Dawn Willis | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-03-19 |
| 1194269597 | Good Samaritan Regional Health Center | Anesthesiology | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-12-05 |
| 1710439112 | Nicole Michelle Boyd | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-11-01 |
| 1588115810 | Cristina Myers | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-10-21 |
| 1144771692 | Misty Dawn Wernsman | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972051589 | Sheryl Bartel | Anesthesiology | 16088 Andal Ln, Mount Vernon, WA 98274-7020 | 2016-09-13 |
| 1154457281 | Mv-anesthesia Ps | Anesthesiology | 110 N 30th St, Mount Vernon, WA 98273-3668 | 2007-02-25 |
| 1346353661 | Southern Illinois Anesthesiology Ltd | Anesthesiology | 605 N 12th Street, Mount Vernon, IL 62864-2857 | 2006-08-17 |
| 1447266507 | Prince B Oliver Jr. | Anesthesiology | 605 N 12th St, Mount Vernon, IL 62864-2857 | 2006-07-31 |
| 1487674263 | Bentley Akobundu Ogoke | Anesthesiology | 140 Stevens Ave, Mount Vernon, NY 10550-2515 | 2006-07-21 |
| 1194729517 | James E. Probst Jr. | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2005-06-13 |
| 1285270280 | Rajeshri Asariparampil | Anesthesiology | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2019-11-25 |
| 1003163403 | Matthew Rahrig | Anesthesiology | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2012-08-06 |
| 1972878460 | Anesthesia Associates of Southern Illinois, LLC | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2012-03-15 |
| 1881995280 | Kom Anesthesia Services LLC | Anesthesiology | 2100 Little Mountain Ln, Mount Vernon, WA 98274-8752 | 2010-11-16 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.