MARY A LEE MD INC (NPI# 1043373517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043373517 |
| Entity Type | Organization |
| Organization Name | MARY A LEE MD INC |
| Practice Address |
6746 Dick Flynn Blvd Goshen OH 45122-8609 |
| Practice Telephone | 5137222603 |
| Practice Fax Number | 5137223423 |
| Mailing Telephone | 5137222603 |
| Mailing Fax Number | 5137223423 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | DR. MARY A LEE (PRESIDENT) |
| Authorized Official Telephone | 5137222603 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35041350 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0344041 | 05 | |
| OH | MEDICARE RR | P00608181 | 01 |
| Street Address |
6746 DICK FLYNN BLVD |
| City | GOSHEN |
| State | OH |
| Zip Code | 45122-8609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240136 | Mary A Lim Lee | Internal Medicine | 6746 Dick Flynn Blvd, Goshen, OH 45122-8609 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790807949 | Merwin Russell Jones IIi | Dentist | 6782 Goshen Road, Goshen, OH 45122 | 2007-04-06 |
| 1326566670 | Kimberly Ann Davis | Counselor | 313 Chillicothe Ave, Hillsboro, OH 45122 | 2017-09-07 |
| 1558395277 | Kroger Limited Partnership I | Pharmacy | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2006-07-10 |
| 1851921704 | Julie Dorenbusch | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2020-01-20 |
| 1295375533 | Melissa M Greene | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2020-01-15 |
| 1447659701 | Donald Clark | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2014-08-22 |
| 1639718281 | Arnetta Williams | Home Health Aide | 505 Country Lake Cir, Goshen, OH 45122-8428 | 2019-12-31 |
| 1720627375 | Liz Loving Hands Home Care | Home Health | 505 Country Lake Cir, Goshen, OH 45122-8428 | 2019-12-31 |
| 1649510793 | Sara J Wilder | Registered Nurse | 6011 Roudebush Rd, Goshen, OH 45122-9136 | 2013-02-27 |
| 1528357530 | Ella Flo York | Registered Nurse | 6343 Goshen Rd, Goshen, OH 45122-9215 | 2011-03-30 |
| Find all providers in zip 45122 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504721 | Dawn Marie Woods | Internal Medicine | 40 Cherrywood Dr, Goshen, NY 10924-2508 | 2019-08-21 |
| 1104954734 | Marilyn J Artushenia | Internal Medicine | 162 Allyn Rd, Goshen, CT 06756-1312 | 2007-03-02 |
| 1871505487 | Laurie J Franklin | Internal Medicine | 143 Torrington Rd, Goshen, CT 06756-1532 | 2006-08-12 |
| 1194772293 | Goshen Health System Inc | Internal Medicine | 2004 Elkhart Rd Ste A, Goshen, IN 46526-1118 | 2006-05-27 |
| 1164477238 | Emily Linzer Gordon | Internal Medicine | 70 Hatfield Ln Ste 101, Goshen, NY 10924-6735 | 2006-05-24 |
| 1982672242 | Jason L Moshier | Internal Medicine | 2024 Dorchester Ct Ste 2, Goshen, IN 46526-6546 | 2006-03-10 |
| 1912971565 | John A Hawkins | Internal Medicine | 1808 Charlton Ct, Goshen, IN 46526-6463 | 2006-02-13 |
| 1073586335 | David C Kay | Internal Medicine | 2024 Dorchester Ct, Suite 2, Goshen, IN 46526-6534 | 2006-02-08 |
| 1851363964 | Morris A. Tilson | Internal Medicine | 1995 Route 17m, Suite 1, Goshen, NY 10924-5231 | 2006-02-02 |
| 1649240136 | Mary A Lim Lee | Internal Medicine | 6746 Dick Flynn Blvd, Goshen, OH 45122-8609 | 2006-01-25 |
| Find all providers in GOSHEN | ||||
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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.