KI BUM LEE (NPI# 1982093795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982093795 |
| Entity Type | Individual |
| Full Name | KI BUM LEE |
| Practice Address |
4713 Sawbuck St St Augustine FL 32092-3690 |
| Practice Telephone | 9049408993 |
| Mailing Telephone | 9049408993 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD032201L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255498028 | Ki Nyoung Lee | Anesthesiology | 3947 Ferrara Drive, Wheaton, MD 20906-4709 | 2007-01-02 |
| 1922538347 | Ki Hoon Lee | Dentist | 422 Oak Ave, Sulphur Springs, TX 75482-4130 | 2017-06-18 |
| 1053668004 | Ki Se Lee | Chiropractor | 7951 Valley View St, La Palma, CA 90623-1848 | 2012-08-09 |
| 1396054011 | Ki Baek Lee | Dentist | 7208 Pacific Blvd Ste 200, Huntington Park, CA 90255-5770 | 2010-09-29 |
| 1316014277 | Ki S. Lee | Anesthesiology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| 1487640728 | Ki Chul Lee | Anesthesiology | 1200 E Michigan Ave, Ste 370, Lansing, MI 48912-1800 | 2005-09-22 |
| Street Address |
4713 SAWBUCK ST |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265506083 | Anthony J Mussallem | Obstetrics & Gynecology | 100 St Augustine South Drive, St Augustine, FL 32086 | 2006-11-20 |
| 1487641403 | Sherri Lee Maetozo | Obstetrics & Gynecology | 1301 Plantation Island Drive, Suite 103, St Augustine, FL 32080 | 2005-10-04 |
| 1699138636 | Majdouline Asher | Obstetrics & Gynecology | 300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703 | 2016-03-29 |
| 1285931485 | Florida Woman Care | Obstetrics & Gynecology | 52 Tuscan Way, St Augustine, FL 32092-1850 | 2011-02-24 |
| 1336446525 | Florida Woman Care LLC | Obstetrics & Gynecology | 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 | 2011-02-24 |
| 1487951737 | Reda Alami Md Pa | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2011-02-23 |
| 1144526708 | Amnath Kirdnual, M.d., P.a. | Obstetrics & Gynecology | 201 Health Park Blvd, Suite 211, St Augustine, FL 32086-5796 | 2011-01-31 |
| 1053614305 | Vijayselwyn Davis Dhas Md | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2010-12-08 |
| 1699088997 | Rachel Kaplan | Obstetrics & Gynecology | 300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703 | 2010-07-15 |
| 1710206925 | Sherri Lee Maetozo Md Pa | Obstetrics & Gynecology | 1301 Plantation Island Drive, Ste 103, St Augustine, FL 32080-3109 | 2010-05-27 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.