Edward Lee (NPI# 1033134267, PAC ID# 9931008141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033134267 |
| PAC ID by PECOS | 9931008141 |
| Professional Enrollment ID | I20111103000930 |
| Full Name | Edward Lee |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Address |
12040 Ne 128th St Suite 100 Kirkland WA 98034-3013 |
| Phone Number | 4258991000 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325100480 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| Address | Phone | Organization |
|---|---|---|
| 1330 Rockefeller Ave, Everett, WA 98201-1676 | PROVIDENCE HEALTH AND SERVICES-WA | |
| 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 | 4258991000 | PROVIDENCE HEALTH AND SERVICES-WA |
| 2902 164th St Sw, Suite E1, Lynnwood, WA 98087-3201 | 4257417750 | PROVIDENCE HEALTH AND SERVICES-WA |
| 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 4253476330 | PROVIDENCE HEALTH AND SERVICES-WA |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES-WA |
| Physicians | 421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasneem Abbas Shikary | Otolaryngology | Providence Health and Services-wa | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 |
| Nicole Kraker | Nurse Practitioner | Providence Health and Services-wa | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 |
| Crystal L Blankinship | Clinical Social Worker | Providence Health and Services-wa | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1751 |
| Lorena Barajas | Nurse Practitioner | Providence Health and Services-wa | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 |
| Kim Quy V Nguyen | Nurse Practitioner | Providence Health and Services-wa | 19200 N Kelsey St, Monroe, WA 98272-1431 |
| Marianna Baghdasaryan | Nurse Practitioner | Providence Health and Services-wa | 13110 Bothell Everett Hwy, Everett, WA 98208-7202 |
| Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
| David Keisho Su | Neurosurgery | Providence Health and Services-wa | 1717 13th St, Suite 401, Everett, WA 98201-1621 |
| David B Shanholtzer | Nurse Practitioner | Providence Health and Services-wa | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 |
| Laura Knapp Knapp | Clinical Social Worker | Providence Health and Services-wa | 1509 California St, Everett, WA 98201-3540 |
| Street Address |
12040 NE 128TH ST SUITE 100 |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Scot Fishman | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Michael A Towbin | General Surgery | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Mark R Vossler | Cardiovascular Disease (cardiology) | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Austin M Gross | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Michelle Hamilton | Clinical Social Worker | Providence Health and Services-wa | 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 |
| William S Getchell | Interventional Cardiology | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Rhonda M Bass | Family Medicine | Providence Health and Services-wa | 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 |
| Joseph P Mazzoncini Jr. | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Natalie M Hendon | Neurology | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Richard Wroblewski | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KIRKLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Edward 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.