MR. ADAM RICKY LEE (NPI# 1235759754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235759754 |
| Entity Type | Individual |
| Full Name | MR. ADAM RICKY LEE |
| Credential | M.D. |
| Practice Address |
Mercyhealth Javon Bea Hospital 8201 East Riverside Boulevard Rockford IL 61114 |
| Mailing Address |
Javon Bea Hospital -rockton Avenue 2400 North Rockton Avenue Rockford IL 61103 |
| Practice Telephone | 8159715000 |
| Mailing Telephone | 8159715000 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518056886 | Adam Nelson Lee | Dentist | 805 S 500 W, Payson, UT 84651-3203 | 2006-10-12 |
| 1467544031 | Adam S Lee | Pharmacist | 4141 Geary Blvd, Suite #208, San Francisco, CA 94118-3109 | 2006-09-29 |
| 1821590514 | Adam Chee-hey Lee | Internal Medicine | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2018-03-08 |
| 1225573504 | Adam Lee | Pediatrics | 505 S Main St Ste 525, Orange, CA 92868-4553 | 2016-12-22 |
| 1164965331 | Adam C. Lee | Physical Therapist | 408 Chris Gaupp Dr Ste 200, Galloway, NJ 08205-4491 | 2016-11-21 |
| 1275858102 | Adam Keith Lee | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2010-04-04 |
| 1780823724 | Adam Donovan Lee | Emergency Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2009-02-16 |
| 1790934842 | Adam James Lee | Optometrist | 10750 W Mcdowell Rd, Ste. A100, Avondale, AZ 85392-5960 | 2008-09-13 |
| 1376675116 | Adam Marlo Lee | Marriage & Family Therapist | 2621 Oswell St, Suite #119, Bakersfield, CA 93306-3172 | 2007-03-09 |
| Street Address |
MERCYHEALTH JAVON BEA HOSPITAL 8201 EAST RIVERSIDE BOULEVARD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1285256966 | Amanda Navreet Ghuman | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-15 |
| 1174142830 | Ekroop Singh Sekhon | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-04-13 |
| 1407475353 | Mehwish Aziz | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-04-10 |
| 1225657364 | Keith Balram Shankar | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-04-09 |
| 1437787702 | Luvleen Kaur Shergill | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-03-31 |
| 1184251266 | Adrian Recinto Velasquez | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-03-26 |
| 1225665607 | Faheem Ahmad | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-03-25 |
| 1720615529 | Navjot Kaur Minhas | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| 1528480241 | Dawn M Mansfield | Physical Therapist | 6451 East Riverside Blvd, Suite 103, Rockford, IL 61114 | 2014-01-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118174 | Dalton Menke | Student in an Organized Health Care Education/Training Program | 707 Woodsong Ct, Rockford, IL 61102-5625 | 2020-06-11 |
| 1881216729 | Dylan Jackson Dick | Student in an Organized Health Care Education/Training Program | 226 Glenview Ct Ne, Rockford, MI 49341-1198 | 2020-05-14 |
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1457980138 | Alexandria Conner | Student in an Organized Health Care Education/Training Program | 9501 Sunset Ridge Dr Ne, Rockford, MI 49341-7116 | 2020-04-05 |
| 1679109789 | Alyssa Tunison | Student in an Organized Health Care Education/Training Program | 1722 Huffman Blvd, Rockford, IL 61103-4531 | 2020-03-20 |
| 1497380224 | Michael Magnuson | Student in an Organized Health Care Education/Training Program | 5268 Deer Pointe, Rockford, IL 61114-7068 | 2020-03-12 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1578127007 | Jose Luis Gallardo | Student in an Organized Health Care Education/Training Program | 2133 Oxford St, Rockford, IL 61103-4160 | 2019-04-30 |
| Find all providers in ROCKFORD | ||||
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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.