Mark J Lee (NPI# 1639116635, PAC ID# 4284632811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1639116635 |
| PAC ID by PECOS | 4284632811 |
| Professional Enrollment ID | I20061115000194 |
| Full Name | Mark J Lee |
| Organization Legal Name | TWIN LAKES MEDICAL FOUNDATION INC |
| Address |
908 Wallace Ave Leitchfield KY 42754-1479 |
| Phone Number | 2702591626 |
| Gender | M |
| Credential | DO |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3971591850 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180070 | TWIN LAKES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 908 Wallace Ave, Leitchfield, KY 42754-1479 | 2702591626 | TWIN LAKES MEDICAL FOUNDATION INC |
| 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2702599580 | TWIN LAKES MEDICAL FOUNDATION INC |
| Organization Legal Name | TWIN LAKES MEDICAL FOUNDATION INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia G Veyel | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 |
| Todd E Bullock | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 301 Sunset Dr, Caneyville, KY 42721-9172 |
| Luke Portwood Fife | General Surgery | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Clinton Kaufman | General Surgery | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| James S Buck | Obstetrics/gynecology | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Kimberly E Gowin | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Robert E Mcclure | Family Medicine | Twin Lakes Medical Foundation Inc | 301 Sunset Dr, Caneyville, KY 42721-9172 |
| Ashley Nicole Flener | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Jamie M Niehaus | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 912 Wallace Ave, Leitchfield, KY 42754-2404 |
| Jennifer Nicole Hughes | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Street Address |
908 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip | 42754-1479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarek Z El-masri | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
| Joseph M Lee | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
| Ashley Nicole Flener | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Jennifer Nicole Hughes | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Jennifer A Camas | Internal Medicine | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Victor Ramones Angeles | Neurology | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
| Anthony K Smith | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
| Kenneth E Green | Family Practice | 908 Wallace Ave, Suite 104, Leitchfield, KY 42754-1479 | |
| John E Evans | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
| Larry T Mcclure | Family Practice | 908 Wallace Ave, Leitchfield, KY 42754-1479 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Patton Simpson | Clinical Social Worker | Associates In Counseling | 48 Public Sq, Leitchfield, KY 42754-1105 |
| Michael L Walker | Chiropractic | Walker Chiropractic Inc | 113 W Main St, Leitchfield, KY 42754-1149 |
| Jeffrey N Been | Orthopedic Surgery | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Spencer D Fuehne | Physical Therapy | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Isaac Miller | Sports Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Craig A Johnson | Internal Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Ted Benjamin Rogers | Orthopedic Surgery | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Bryce A. Meredith | Family Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Rita A Logsdon | Nurse Practitioner | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Cari Beth Johnson | Nurse Practitioner | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
| Find all physicians in zip 42754 | |||
| City | LEITCHFIELD |
| Zip Code | 42754 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LEITCHFIELD + OBSTETRICS/GYNECOLOGY |
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| 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.