Kate J Lee (NPI# 1407417033, PAC ID# 7113258229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407417033 |
| PAC ID by PECOS | 7113258229 |
| Professional Enrollment ID | I20191003002032 |
| Full Name | Kate J Lee |
| Organization Legal Name | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Address |
17739 Main St Dumfries VA 22026-3251 |
| Phone Number | 7036807950 |
| Gender | F |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9436258209 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17739 Main St, Dumfries, VA 22026-3251 | 7036807950 | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 | 7036807950 | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah J Yuan | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Lena N Tran | Physician Assistant | Greater Prince William Area Community Health Center Inc | 17739 Main St, Dumfries, VA 22026-3251 |
| Alma C Tobar | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Syed K Mahboob | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Woodbridge, VA 22192-8323 |
| Layla Ali Abdal Hussain | Internal Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Rashid A Mohiuddin | Family Medicine | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Jean-andre Constant | Clinical Social Worker | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Anh N Pham | Physician Assistant | Greater Prince William Area Community Health Center Inc | 4379 Ridgewood Ctr Dr, Suite 102, Woodbridge, VA 22192-8323 |
| Street Address |
17739 MAIN ST |
| City | DUMFRIES |
| State | VA |
| Zip | 22026-3251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alf K Adler | Obstetrics/gynecology | 17739 Main St, Suite 110, Dumfries, VA 22026-3256 | |
| Lena N Tran | Physician Assistant | Greater Prince William Area Community Health Center Inc | 17739 Main St, Dumfries, VA 22026-3251 |
| Prathima P Setty | Obstetrics/gynecology | Greater Prince William Area Community Health Center Inc | 17739 Main St, Dumfries, VA 22026-3251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Tyborowski | Physical Therapy | Coach House Physicial Therapyandsports Medicine Center, LLC | 17453 Jefferson Davis Hwy, Dumfries, VA 22026-2244 |
| Edward Brock Price | Physical Therapy | Coach House Physicial Therapyandsports Medicine Center, LLC | 17453 Jefferson Davis Hwy, Dumfries, VA 22026-2244 |
| June B Wynn | Clinical Social Worker | 17606 Main St, Suite 204, Dumfries, VA 22026-2344 | |
| Jeffrey I Wynn | Optometry | 17614 Main St, Suite 102, Dumfries, VA 22026-2359 | |
| Jerome L Dovberg | Podiatry | 17610 Main St, Suite 104, Dumfries, VA 22026-2359 | |
| Mary Townsend Adams | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Manisha Kunwar | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Ravinder P Singh | Internal Medicine | 17193 Wayside Dr, Southbridge Plaza, Dumfries, VA 22026-2766 |
| City | DUMFRIES |
| Zip Code | 22026 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DUMFRIES + PHYSICIAN ASSISTANT |
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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.