THEODORE LEE (NPI# 1043218308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043218308 |
| Entity Type | Individual |
| Full Name | THEODORE LEE |
| Credential | MD |
| Practice Address |
200 E Chestnut St Louisville KY 40202-1831 |
| Mailing Address |
234 E Gray St Suite 850 Louisville KY 40202-1900 |
| Practice Telephone | 5026297601 |
| Mailing Telephone | 5026297601 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24996 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 1051833 | 01 |
| KY | PASSPORT | 50005987 | 01 |
| KY | BC BS | 000000308613 | 01 |
| KY | 64249964 | 05 | |
| KY | BC BS | 000000050043 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550176 | Theodore C Lee | Internal Medicine | 8035 189th St, Jamaica, NY 11423-1034 | 2009-07-12 |
| 1154716967 | Theodore Lee | Allergy & Immunology | 72 E Concord St, Boston, MA 02118 | 2015-03-30 |
| 1912311234 | Theodore Tak Lee | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2014-06-14 |
| 1245428945 | Theodore Taewoo Lee | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2007-10-09 |
| 1518034438 | Theodore F. Lee | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1275558900 | Theodore T. Lee | Internal Medicine | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2006-07-13 |
| 1689606881 | Theodore Mark Lee | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-07-07 |
| 1083656193 | Theodore J. Lee | Radiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-06-12 |
| Street Address |
200 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1013548973 | Kentucky Ob Hospitalist Services Inc | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-01-30 |
| 1003451774 | Elizabeth Turcotte | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-11-16 |
| 1972145332 | Brenn Philip Arbra | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-10-17 |
| 1417599200 | Candice Elaine Bacon | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-10-13 |
| 1518510965 | Katrina Mcneal | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-07-24 |
| 1013569102 | Hannah Harris | Physician Assistant | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-07-10 |
| 1932768710 | Jasmina Keserovic | Nurse Anesthetist, Certified Registered | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730541046 | Michael Daniel Dahle | Radiology | 530 S Jackson St # St-c07, Louisville, KY 40202-1675 | 2016-03-25 |
| 1881031680 | Breckenridge Medical Group, Psc | Radiology | 974 Breckenridge Ln, Suite 133, Louisville, KY 40207-4619 | 2013-06-03 |
| 1073767737 | Blue Grass Diagnostics | Radiology | 820 S. 6th St, Louisville, KY 40203 | 2008-11-07 |
| 1336302462 | Ryan Patrick Currier | Radiology | 222 S 1st St Ste 501, Louisville, KY 40202-5302 | 2008-07-09 |
| 1477714822 | Christopher Dale Henley | Radiology | 5129 Dixie Hwy Ste 100, Louisville, KY 40216-1727 | 2008-06-18 |
| 1871778720 | Alexander Ding | Radiology | 530 S Jackson St Ste C07, Louisville, KY 40202-1675 | 2008-01-09 |
| 1114114931 | Melissa Hite Potts | Radiology | 234 E Gray St Ste 850, Louisville, KY 40202-1901 | 2007-09-25 |
| 1245432079 | Bradley L. Williams | Radiology | 234 E. Gray Street, Suite 850, Louisville, KY 40202-1901 | 2007-06-04 |
| 1124158001 | Vaclav I Pokorny | Radiology | 1606 Two Springs Place, Louisville, KY 40207-2375 | 2007-03-07 |
| 1336270057 | Amanda Weckman Carricato | Radiology | 4915 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2860 | 2007-03-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.