Miae Lee (NPI# 1154423770, PAC ID# 6709771611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1154423770 |
| PAC ID by PECOS | 6709771611 |
| Professional Enrollment ID | I20040219000322 |
| Full Name | Miae Lee |
| Organization Legal Name | PACIFIC MEMORIAL ANESTHESIA CARE INC |
| Address |
3300 Renner Dr Fortuna CA 95540-3120 |
| Phone Number | 7077253361 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6507967395 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Renner Dr, Fortuna, CA 95540-3120 | 7077253361 | PACIFIC MEMORIAL ANESTHESIA CARE INC |
| Organization Legal Name | PACIFIC MEMORIAL ANESTHESIA CARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| D Peter Goldberg | Anesthesiology | Pacific Memorial Anesthesia Care Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Street Address |
3300 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip | 95540-3120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Demara | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 | |
| D Peter Goldberg | Anesthesiology | Pacific Memorial Anesthesia Care Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Timothy Dalsaso | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Margarette J Shegog | Family Medicine | St Joseph Heritage Healthcare | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Richard B Greaney | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Donald Craig Wheeler | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Dean G Holland | Diagnostic Radiology | Humboldt Radiology Medical Group Inc | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Neal Evan Feuerman | Anesthesiology | 3300 Renner Dr, Fortuna, CA 95540-3120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan D Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORTUNA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Miae 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.