Wilson T Lee (NPI# 1154697340, PAC ID# 3577857945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1154697340 |
| PAC ID by PECOS | 3577857945 |
| Professional Enrollment ID | I20160808001528 |
| Full Name | Wilson T Lee |
| Organization Legal Name | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
| Address |
2336 Sylvan Ave Suite B Modesto CA 95355-9211 |
| Phone Number | 2093380393 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2012 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 9436056785 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| 050689 | SAN RAMON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 2336 Sylvan Ave, Suite B, Modesto, CA 95355-9211 | 2093380393 | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
| Organization Legal Name | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qing Wang | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 400 Forest Ave, Palo Alto, CA 94301-2608 |
| Robert Glenn Laverne | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 133 La Casa Via, Walnut Creek, CA 94598-3005 |
| David A Shapiro | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 2021 Ygnacio Valley Rd, Suite H102, Walnut Creek, CA 94598-3352 |
| Jonathan Hsiao | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 3370 Geary Blvd, San Francisco, CA 94118-3324 |
| Sam S Shay | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3225 |
| Oscar A Fernandez | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1238 W St, Redding, CA 96001-0415 |
| Kevin G Kaiser | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Kurt D Dittmar | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Haywon Lieh | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Gary T Guglielmino | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Street Address |
2336 SYLVAN AVE SUITE B |
| City | MODESTO |
| State | CA |
| Zip | 95355-9211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magdy Elsakr | Gastroenterology | Modesto Gastroenterology Medical Corporation | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 |
| Eva Lili Rivera | Nurse Practitioner | Modesto Gastroenterology Medical Corporation | 2336 Sylvan Ave, Suite A, Modesto, CA 95355-9211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MODESTO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Wilson T Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.