DR. EDWIN J LEE (NPI# 1992817605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992817605 |
| Entity Type | Individual |
| Full Name | DR. EDWIN J LEE |
| Credential | M.D. |
| Practice Address |
1860 Town Center Dr Suite 335 Reston VA 20190-5896 |
| Practice Telephone | 7037873322 |
| Practice Fax Number | 7037873380 |
| Mailing Telephone | 7037873322 |
| Mailing Fax Number | 7037873380 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101236481 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472184 | Edwin Bryce Lee | Physical Therapist | 1512 Technology Dr Ste 102, Chesapeake, VA 23320-5979 | 2019-05-14 |
| 1629244918 | Edwin Aik Meng Lee | Internal Medicine | 1300 N Vermont Ave Ste 808, Los Angeles, CA 90027-6091 | 2008-05-06 |
| 1255420857 | Edwin C Lee | Dentist | 959 S Alabama Ave, Monroeville, AL 36460-2583 | 2006-10-12 |
| 1083683106 | Edwin N Lee | Internal Medicine | 7009 Dr Phillips Blvd, Suite 150, Orlando, FL 32819-5123 | 2006-03-14 |
| 1942817267 | Edwin K Lee | Physician Assistant | 236 Cajon St, Redlands, CA 92373-5202 | 2020-09-30 |
| 1972921047 | Edwin Jin Su Lee | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Rochester, NY 14642 | 2014-04-04 |
| 1932432283 | Edwin Lee | Dentist | 311 Park Ave, Falls Church, VA 22046-3300 | 2009-09-17 |
| 1710148705 | Edwin Lee | Internal Medicine | 4300 B St, Suite 200, Anchorage, AK 99503-5925 | 2008-06-23 |
| 1285838565 | Edwin Lee | Dentist | 115 Grand Ave, Englewood, NJ 07631-3654 | 2007-06-12 |
| 1932243631 | Edwin W Lee | Anesthesiology | 2045 Franklin St, Kaiser Franklin, Dept of Anesthesiology, Denver, CO 80205-5437 | 2007-02-16 |
| Street Address |
1860 TOWN CENTER DR SUITE 335 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743688 | Eric B Masternick | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2005-07-11 |
| 1881204824 | Amar Rajbir Singh Gill | Physician Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2020-08-04 |
| 1518431576 | Amanda Joan Field | Physician Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2019-01-13 |
| 1235664897 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr, Suite 140, Reston, VA 20190-5896 | 2017-04-20 |
| 1144777541 | Leanne Mcnabney | Physical Therapist | 1860 Town Center Dr, Suite 300, Reston, VA 20190-5896 | 2016-09-02 |
| 1912451238 | Emily Anne Sunkin | Physician Assistant | 1860 Town Center Dr, Suite 335, Reston, VA 20190-5896 | 2016-08-04 |
| 1033587365 | Gabrielle Pham-che | Physical Therapist | 1860 Town Center Dr, Reston, VA 20190-5896 | 2015-09-03 |
| 1639545353 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2015-08-17 |
| 1992197685 | Northern Virginia Hearing Aid LLC | Hearing Aid Equipment | 1860 Town Center Dr, Suite 225, Reston, VA 20190-5896 | 2015-03-04 |
| 1316339625 | Susan Hansen | Physical Therapy Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2015-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
| 1407908817 | Loudoun Medical Group PC | Otolaryngology | 1860 Town Center Dr, Suite 225, Reston, VA 20190-5896 | 2007-01-17 |
| 1508961087 | Reston Ear Nose and Throat PC | Otolaryngology | 1860 Town Center Dr, Suite 335, Reston, VA 20190-5896 | 2006-09-13 |
| 1184678856 | Daniel Hwang | Otolaryngology | 1860 Town Center Dr, Suite 335, Reston, VA 20190-5896 | 2006-05-19 |
| 1720052178 | Michael George Mellis | Otolaryngology | 1860 Town Center Dr, Suite 225, Reston, VA 20190-5896 | 2006-02-14 |
| 1982688610 | William H Lindsey | Otolaryngology | 1800 Town Center Dr, #320, Reston, VA 20190-3215 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
| 1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
| 1134564073 | Ear, Nose, Throat & Allergy Consultants, PC | Otolaryngology | 26208 Lee Highway, Abingdon, VA 24211-7504 | 2013-05-06 |
| 1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
| 1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| 1538462189 | Jon Bruce Hagadorn | Otolaryngology | 3136 W Club Dr, Salem, VA 24153-6823 | 2010-12-20 |
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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.