SONTAEK THEODORE LEE (NPI# 1053330894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053330894 |
Entity Type | Individual |
Full Name | SONTAEK THEODORE LEE |
Credential | M.D. |
Practice Address |
11217 Lockwood Dr Silver Spring MD 20901-4550 |
Practice Telephone | 3016817712 |
Practice Fax Number | 3016817734 |
Mailing Telephone | 3016817712 |
Mailing Fax Number | 3016817734 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
D0014522 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6280366 | 05 | |
MD | STATE LICENSE | D0014522 | 01 |
DEA | BL0371207 | 01 |
Street Address |
11217 LOCKWOOD DR |
City | SILVER SPRING |
State | MD |
Zip Code | 20901-4550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831259902 | Chitra R Chari | Psychiatry & Neurology | 11217 Lockwood Dr, Silver Spring, MD 20901-4550 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154961407 | Che Mbah | Home Health Aide | 25 East Wayne Ave 401, Silverspring, MD 20901 | 2020-01-14 |
1245891621 | Healing Arts Wellness LLC | Massage Therapist | Tavo Total Health, 407 Leighton Ave, Silver Spring, MD 20901 | 2019-06-26 |
1720643984 | Dana Hilary Bendidi | Speech-Language Pathologist | Forest Knolls Elementary School, 10830 Eastwood Avenue, Silver Spring, MD 20901 | 2019-05-03 |
1821579921 | Veronique Morelle Ngamgouo Nde | Home Health Aide | 8711 Arliss Street Atpt. 1, Silver Spring, MD 20901 | 2018-08-27 |
1598252827 | Laurel A Bryant | Massage Therapist | 10770 Columbia Pike Ste 300, Silver Spring, MD 20901 | 2018-04-23 |
1558861641 | Lorivi Gabrintina | Occupational Therapist | 1520 Prosperity Drive, Suite #210, Silver Spring, MD 20901 | 2018-02-15 |
1821503194 | Esther Nannerl Mae Nanga Biyo | Home Health Aide | 100 Croydon Ct Apt 6, Silver Spring, MD 20901 | 2017-12-08 |
1457878910 | Adebola B Ibirogba | Family Medicine | 209 Hartwell Road, Silver Spring, MD 20901 | 2017-08-25 |
1679095509 | Eleonore B Jatsa | Home Health Aide | 11200 Lockwood Drive, Apt 905, Silverspring, MD 20901 | 2017-07-12 |
1831554252 | Ivan Marin-soler | Psychologist | 9604 Sutherland Road, Silver Spring, MD 20901 | 2015-12-30 |
Find all providers in zip 20901 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386626802 | Matrice Washington Browne | Obstetrics & Gynecology | 15824 Laughlin Ln, Silver Spring, MD 20906-1073 | 2005-11-18 |
1447250832 | Victoria Diaz | Obstetrics & Gynecology | 11031 Lockwood Dr, Silver Spring, MD 20901-4532 | 2005-07-28 |
1477697852 | Uma Ramakrishna | Obstetrics & Gynecology | 15200 New Hampshire Ave, Mcc Medical Clinic, Silver Spring, MD 20905-5631 | 2007-02-17 |
1548359011 | Iris E Dominy | Obstetrics & Gynecology | 9801 Georgia Ave, 338, Silver Spring, MD 20902-5276 | 2006-10-12 |
1659305563 | Paul H Mccauley | Obstetrics & Gynecology | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1459 | 2006-07-10 |
1194706788 | Allan Michael Lazarus | Obstetrics & Gynecology | 10801 Lockwood Dr, 320, Silver Spring, MD 20901-1556 | 2005-11-10 |
1639150758 | Laurie Tyau | Obstetrics & Gynecology | 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 | 2005-11-07 |
1386635597 | Robert E Badwey | Obstetrics & Gynecology | 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 | 2005-11-04 |
1821089327 | Thomas Hampton Goodridge | Obstetrics & Gynecology | 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 | 2005-11-02 |
1467443960 | Rolando Perez | Obstetrics & Gynecology | 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 | 2005-11-02 |
Find all providers in SILVER SPRING |
City | SILVER SPRING |
Zip Code | 20901 |
Please comment or provide details below to improve the information on SONTAEK THEODORE LEE.
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.