BRIAN W LEE (NPI# 1083052690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083052690 |
| Entity Type | Individual |
| Full Name | BRIAN W LEE |
| Credential | M.D. |
| Practice Address |
N16w24131 Riverwood Dr Waukesha WI 53188-1106 |
| Mailing Address |
185 S Orange Ave Medical Science Building H-576 Newark NJ 07103-2757 |
| Practice Telephone | 2626960808 |
| Practice Fax Number | 2626960965 |
| Mailing Telephone | (973) 972-6255 |
| Mailing Fax Number | 9739725877 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2017-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 67764 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | LP02938 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296598 | Brian Kisub Lee | Chiropractor | 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 | 2019-03-28 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1477094795 | Brian P Lee | Dentist | 1616 Range Ct, Diamond Bar, CA 91765-4318 | 2017-03-20 |
| 1174065429 | Brian Lee | Student in an Organized Health Care Education/Training Program | 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 | 2016-11-16 |
| 1366807992 | Brian Jin Han Lee | Pharmacist | 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 | 2015-12-28 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1508267527 | Brian Lee | Dentist | Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 | 2014-09-09 |
| 1891114377 | Brian Jinho Lee | Student in an Organized Health Care Education/Training Program | 256 S Durham St, Baltimore, MD 21231-2605 | 2014-04-10 |
| 1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
| Street Address |
N16W24131 RIVERWOOD DR |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942274055 | Debra Muggler | Internal Medicine | N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 | 2006-02-15 |
| 1205482353 | Michelle Willman | Nurse Practitioner | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2019-08-14 |
| 1245884121 | Allysa Olson | Genetic Counselor, MS | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2019-07-29 |
| 1285133504 | Kathleen Jane Bussen | Physical Medicine & Rehabilitation | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2018-02-02 |
| 1093231383 | Abbigail Rose Brauch | Physician Assistant | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2017-08-17 |
| 1073068714 | Savannah Shores | Nurse Practitioner | N16w24131 Riverwood Dr, Cancer Center, Waukesha, WI 53188-1106 | 2016-08-23 |
| 1326466186 | Jeremiah Stromich | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2014-03-30 |
| 1093058372 | Jonathan Kapke | Internal Medicine | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-04-04 |
| 1821331307 | Lisa Marie Stringer | Nurse Practitioner | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-04-03 |
| 1427391283 | David Thomas Linn | Otolaryngology | N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | 2013-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033478763 | Lauren Piilani Rimoin | Dermatology | W231n1440 Corporate Ct Ste 203, Waukesha, WI 53186-1303 | 2012-05-15 |
| 1326031964 | Bradley Theodore John Straka | Dermatology | 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 | 2005-08-30 |
| 1780863779 | Christopher Thomas Burnett | Dermatology | N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 | 2007-10-26 |
| 1346355443 | Marie Dauenhauer | Dermatology | W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | 2006-08-20 |
| 1700829959 | Affiliated Dermatologists Sc | Dermatology | 1111 Delafield Street, Ste 327, Waukesha, WI 53188 | 2006-06-14 |
| 1770558876 | J Christopher Braker | Dermatology | 2717 N Grandview Blvd, Waukesha, WI 53188 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
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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.