KANG K. LEE (NPI# 1871530840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871530840 |
| Entity Type | Individual |
| Full Name | KANG K. LEE |
| Credential | M.D. |
| Practice Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7494465371 |
| Practice Fax Number | 7404465711 |
| Mailing Telephone | 7494465371 |
| Mailing Fax Number | 7404465711 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 18084 | WV | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 35-04-5728 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0431894 | 05 | |
| RR MEDICARE | 370008780 | 01 | |
| OH | OH MEDICAID CARESOURCE | 310917085036 | 01 |
| MOUNTAIN STATE BCBS | 001714077 | 01 | |
| WV | 0109417000 | 05 | |
| OH | UNISON MEDICAID | 000000181980 | 01 |
| ANTHEM BCBS | 000000007615 | 01 | |
| OH | MOLINA MEDICAID | 0431894 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477611630 | Kang Hoon Lee | Dentist | 1661 S Nogales St, #c, Rowland Hts, CA 91748 | 2006-12-04 |
| 1275606048 | Kang Maeng Lee | Internal Medicine | 184 Bowen Rd, Saranac, NY 12981 | 2006-11-17 |
| 1184683203 | Kang H Lee | Obstetrics & Gynecology | 7 N Atkinson Dr, Ste 113, Ludington, MI 49431-1953 | 2006-03-18 |
| 1124000823 | Kang Sun Lee | Neuromusculoskeletal Medicine, Sports Medicine | 8154 Marseille Dr, Corpus Christi, TX 78414-6053 | 2005-11-17 |
| 1255570677 | Kang Min Lee | Dentist | 18 S Roland St, Pottstown, PA 19464-5836 | 2009-02-09 |
| 1861567349 | Kang Yul Lee | Dentist | 2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe, CA 96150 | 2006-11-21 |
| 1417047440 | Kang W. Lee | Specialist | 12291 E Washington Blvd, Whittier, CA 90606-2500 | 2006-10-13 |
| 1033210232 | Kang Hak Lee | Family Medicine | 44750 60th St W, Lancaster, CA 93536-7619 | 2006-09-26 |
| 1912004250 | Kang Ku Lee | Dentist | 14435 Hamlin St, Suite 205, Van Nuys, CA 91401-6205 | 2006-09-20 |
| Street Address |
90 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640662 | Charles D Crigger | Otolaryngology | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2005-06-22 |
| 1780299560 | Melissa Burris | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-09-09 |
| 1922524263 | Zachary Terrill | Pharmacist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-08-18 |
| 1366991622 | Holly Pope Petro | Pharmacist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2016-09-28 |
| 1922470798 | Chelsea Caldwell | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2015-10-20 |
| 1992105779 | Nona Canaday | Physical Therapist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2014-08-28 |
| 1477982924 | Alexa Terry | Physician Assistant | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-11-05 |
| 1679900633 | Jane Ellen Mcgovern | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-10-04 |
| 1346677713 | Sarah E. Ramsburg | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-10-01 |
| 1871933564 | Jessica L. Willet | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093248478 | Jacob Lawrence Pessia | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-04-04 |
| 1063890200 | Jonathan Mathis | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631 | 2015-05-08 |
| 1669869566 | Charles Donavan Davis | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631 | 2015-04-20 |
| 1679913396 | Cassie Ann Rice | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-06-26 |
| 1255362927 | Danielle T. Cappelletti | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-07-05 |
| 1053341370 | Jon M. Sullivan | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-07-03 |
| 1548207392 | Joseph Y. Li | Pediatrics | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-01 |
| 1396782314 | Il H. Kim | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-05-31 |
| 1821045204 | Richard J. Mendieta | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-05-30 |
| 1225082670 | Pradeep K. Kandula | Pediatrics | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-05-20 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
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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.