DR. JUSTIN ALLEN LEE (NPI# 1285808741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285808741 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ALLEN LEE |
| Credential | MD |
| Practice Address |
3708 Mayfair St Durham NC 27707-6226 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 9842154780 |
| Practice Fax Number | 9842154785 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2011-00685 | NC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2011-00685 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 172M6 | 01 |
| NC | 5920939 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 590 Manning Dr, Chapel Hill, NC 275998944 | 9849740210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331702 | Justin Youngzi Lee | Student in an Organized Health Care Education/Training Program | University of New Mexico - Neurosurgery, Albuquerque, NM 87131-0001 | 2019-05-14 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669963484 | Justin Mark Lee | Physical Therapist | 277 Wilshire Ave, Daly City, CA 94015-1037 | 2018-05-29 |
| 1861752792 | Justin Mcavoy Lee | Speech-Language Pathologist | 145 Summerfield Rd, Shelburne, VT 05482-7818 | 2012-05-25 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1740486232 | Justin Lee | Chiropractor | 18904 Highway 99 Ste Q, Lynnwood, WA 98036-5219 | 2007-06-22 |
| 1104913425 | Justin Thien Lee | Obstetrics & Gynecology | 500 Old River Rd Ste 200, Bakersfield, CA 93311 | 2006-10-06 |
| 1881616332 | Justin S Lee | Dentist | 3250 14th Ave Nw Ste A, Olympia, WA 98502-8546 | 2006-07-24 |
| 1225078579 | Justin Cheuk-fun Lee | Internal Medicine | 209 Mlk Jr Way, Department of Cardiology, Tacoma, WA 98405 | 2006-06-07 |
| 1366062721 | Justin Lee | Pharmacist | 3487 N Stockton Hill Rd, Kingman, AZ 86409-3681 | 2020-04-25 |
| Street Address |
3708 MAYFAIR ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649222464 | Valerie Collins | Physical Therapist | 3708 Mayfair St, Durham, NC 27707-6226 | 2006-05-17 |
| 1114525060 | Jonathan Rann Nelson-chavis | Specialist/Technologist | 3708 Mayfair St, Durham, NC 27707-6226 | 2020-10-13 |
| 1306198080 | Arlana Eichelle Garvin | Counselor | 3708 Mayfair St, Square 2, Durham, NC 27707-6226 | 2012-10-05 |
| 1801141296 | Wesley Knepper | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2012-07-21 |
| 1093038929 | Providence Healthcare, Inc. | Home Health | 3708 Mayfair St, 100, Durham, NC 27707-6226 | 2010-03-06 |
| 1689909699 | Ulaine Rita Washington | Social Worker | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2009-10-08 |
| 1699936369 | Jacqueline E Maffett | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-06-24 |
| 1154591386 | Triumph, LLC | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-03-04 |
| 1407025117 | Carolina Behavioral Care | Psychiatry & Neurology | 3708 Mayfair St, Southsquare 2, Suite 200, Durham, NC 27707-6226 | 2008-02-27 |
| 1740482611 | Lisa Anne Copley | Counselor | 3708 Mayfair St, Durham, NC 27707-6226 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
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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.