JI HYUN LEE (NPI# 1063730265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063730265 |
| Entity Type | Individual |
| Full Name | JI HYUN LEE |
| Credential | M.D. |
| Practice Address |
1436 Broadrick Dr Ste B Dalton GA 30720-3009 |
| Practice Telephone | 7062263434 |
| Practice Fax Number | 7062264820 |
| Mailing Telephone | 7062263434 |
| Mailing Fax Number | 7062264820 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
83097 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598140584 | Ji Hyun Lee | Dentist | 270 Concord St Ste 1, Framingham, MA 01702-6489 | 2015-07-20 |
| 1679851752 | Ji Hyun Lee | Optometrist | 1865 Nw 169th Pl Ste 105, Beaverton, OR 97006-7310 | 2011-07-24 |
| 1417400938 | Ji Hyun Lee | Pharmacist | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-08-02 |
| 1225318660 | Ji Hyun Lee | Anesthesiology | 1130 W Michigan St, Fesler Hall Room 204, Indianapolis, IN 46202-5135 | 2011-08-17 |
| Street Address |
1436 BROADRICK DR STE B |
| City | DALTON |
| State | GA |
| Zip Code | 30720-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420741 | Syed A Agha | Internal Medicine | 1436 Broadrick Dr Ste B, Dalton, GA 30720-3009 | 2005-07-08 |
| 1184179558 | Trevor Alverson | Nurse Practitioner | 1436 Broadrick Dr Ste B, Dalton, GA 30720 | 2016-08-16 |
| 1437501368 | Stevens Lee Chancey Jr. | Nurse Practitioner | 1436 Broadrick Dr Ste B, Dalton, GA 30720-3009 | 2016-07-03 |
| 1326216490 | James Philip Stewart | Internal Medicine | 1436 Broadrick Dr Ste B, Dalton, GA 30720-3009 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1235455569 | Hamilton Physician Group Inc | Internal Medicine | 1107 Memorial Dr Ste 302, Dalton, GA 30720 | 2010-04-12 |
| 1770597361 | Ezad N Ahmad | Internal Medicine | 1411 Chattanooga Ave, Dalton, GA 30720 | 2006-07-28 |
| 1346754751 | Natalie Renee Bradley | Internal Medicine | 1600 Broadrick Dr, Dalton, GA 30720-3260 | 2017-11-21 |
| 1275601569 | Heart and Rhythm Specialists | Internal Medicine | 1600 Broadrick Dr, Dalton, GA 30720-3012 | 2006-12-04 |
| 1295749125 | Cardiology Center of Dalton PC | Internal Medicine | 1411 Chattanooga Ave, Suite 101, Dalton, GA 30720-2673 | 2006-07-28 |
| 1669491619 | Dalton Cardiology, P.C. | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-19 |
| 1861426983 | Gary W. Olson | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-11 |
| 1649201955 | John H Poehlman | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-05 |
| 1689604472 | Stephen G Rohn | Internal Medicine | 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | 2006-07-04 |
| 1164411880 | Leonard J Hays IIi | Internal Medicine | 1436 Broadrick Dr, Dalton, GA 30720-3009 | 2005-10-14 |
| Find all providers in DALTON | ||||
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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.