DR. MAXIMILIAN SAMUEL LEE (NPI# 1962494484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962494484 |
| Entity Type | Individual |
| Full Name | DR. MAXIMILIAN SAMUEL LEE |
| Credential | MD |
| Practice Address |
811 Grier Dr Las Vegas NV 89119-3704 |
| Mailing Address |
Raf Lakenheath 48 Mdg/sghc Unit 5115 Apo AE 09461-5115 |
| Practice Telephone | 8007790526 |
| Practice Fax Number | 8007790526 |
| Mailing Telephone | 3142268124 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | L5019 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
L5019 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518143478 | Maximilian Lee | Internal Medicine | 747 Broadway, Seattle, WA 98122-4379 | 2008-01-10 |
| 1447379375 | Maximilian H Lee | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2007-03-29 |
| Street Address |
811 GRIER DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518197078 | Tanya Lane Hatfield | Military Health Care Provider | 811 Grier Dr, Suite B, Las Vegas, NV 89119-3704 | 2009-07-19 |
| 1689818064 | Gary Martin | Military Health Care Provider | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2009-04-29 |
| 1912141011 | George Steven Cum | Military Health Care Provider | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2009-04-21 |
| 1124203500 | Scott Swingle | Physician Assistant | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659550614 | Templar Clinics | Preventive Medicine | 5590 San Florentine Ave, Las Vegas, NV 89141-3866 | 2007-10-26 |
| 1518000538 | Kevin Templar | Preventive Medicine | 1321 S Rainbow Blvd Ste 101, Las Vegas, NV 89146-9047 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730228321 | Dana Windhorst | Preventive Medicine | 4700 Las Vegas Blvd N., Nellis Afb, NV 89191 | 2007-02-06 |
| 1992792899 | George Joseph Buse | Preventive Medicine | 4700 Las Vegas Blvd. Bldg. 1300, Nellis Afb, NV 89191-6601 | 2005-10-05 |
| 1518407600 | Carter S Tisdale | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2017-03-08 |
| 1972958700 | Eric M Brunk | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2016-04-29 |
| 1609239334 | Devin P Kearns | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2016-03-31 |
| 1417253345 | Steven R Francis | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2011-02-10 |
| 1831420900 | Mary Anne Q Eisma | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-01-28 |
| 1144471202 | Nathan M Kim | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-10-08 |
| 1346406766 | Joseph C Hudson | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-08-05 |
| 1205988052 | Jason Alan Compton | Preventive Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2007-01-18 |
| 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.