ALBERT C LEE (NPI# 1316966971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316966971 |
| Entity Type | Individual |
| Full Name | ALBERT C LEE |
| Credential | MD |
| Practice Address |
520 E Douglas Blvd Tyler TX 75702-8307 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035931721 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G58417 | CA | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
N0916 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS JV LOCATION | 8CU212 | 01 |
| TX | TRICARE | TIN PLUS 013 | 01 |
| TX | TRICARE JV LOCATION | TIN PLUS 005 | 01 |
| TX | 196640003 | 05 | |
| TX | 196640001 | 05 | |
| TX | 196640004 | 05 | |
| TX | BCBS | 8AP484 | 01 |
| TX | BCBS OF TEXAS | 8BC077 | 01 |
| TX | 196640002 | 05 | |
| TX | TRICARE | TIN PLUS 007 | 01 |
| TX | TRICARE | TIN PLUS 113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1194060095 | Albert Jong-suk Lee | Physical Therapist | 1253 Makalapa Rd, Bldg 1514, Honolulu, HI 96817 | 2012-12-03 |
| 1578853024 | Albert J Lee | General Practice | Soldier Centered Medical Home, Bldg 13815, Joint Base Lewis Mcchord, WA 98433-1000 | 2011-04-17 |
| 1194025684 | Albert Lee | Pharmacist | 19133 Willamette Dr, West Linn, OR 97068-2019 | 2010-10-29 |
| 1215263413 | Albert Kwang Lee | Pharmacist | 63a Main St., Ashburnham, MA 01430 | 2009-10-22 |
| 1386825479 | Albert Lee | Pharmacist | 2918 Dewey Ave, Rochester, NY 14616-4634 | 2007-11-17 |
| 1124221510 | Albert C Lee | Optometrist | 26 Winfield St, San Francisco, CA 94110-5141 | 2007-06-06 |
| 1538378740 | Albert Minh Hien Lee | Dentist | 5425 California Ave Sw, Seattle, WA 98136-1512 | 2007-05-22 |
| 1275654139 | Albert Lee | Dentist | 1606 Forest Dr, Annapolis, MD 21403-1004 | 2007-04-02 |
| 1790815322 | Albert C Lee | Psychiatry & Neurology | 3731 Rome Dr, A, Lafayette, IN 47905-4490 | 2007-03-06 |
| Street Address |
520 E DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917750 | David H Beaird | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-01-26 |
| 1487973350 | Rebecca L Monahan | Dietitian, Registered | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2010-05-18 |
| 1366671216 | Trinity Clinic | Clinic/Center | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2009-07-13 |
| 1619152139 | Amanda Elizabeth Mullins | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2008-01-03 |
| 1225162753 | Robert Brooks Clarke | Physician Assistant | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2007-03-15 |
| 1356364178 | Neda Esfandiari | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-25 |
| 1134163868 | Marcia W Green | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-15 |
| 1407896293 | Andria Beth Cardinalli-stein | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-08 |
| 1649246315 | James Gregory Stovall | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702 | 2006-02-23 |
| 1245206937 | Oscar Ray Wilson | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518220367 | Beurett Alexander King Jr. | Radiology | 1517 Cold Water Dr, Tyler, TX 75703-0937 | 2012-06-18 |
| 1093039539 | Melinda Faye Coker | Radiology | 910 E Houston St Ste 650, Tyler, TX 75702 | 2010-03-25 |
| 1548219025 | Sonowave Inc. | Radiology | 417 S Chilton Ave, Tyler, TX 75702-8017 | 2006-05-10 |
| 1427019447 | Ralph A Gutierrez | Radiology | 1021 E Watkins St, Tyler, TX 75701-7120 | 2006-03-29 |
| 1164495974 | Joe Buck Caldwell | Radiology | 520 East Douglas Blvd, Tyler, TX 75702 | 2006-02-10 |
| 1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
| 1871594697 | Modified Barium Swallow Service, P.a. | Radiology | 3724 Fm 346 E, Tyler, TX 75703-8340 | 2005-08-02 |
| 1962814798 | Justin Mccaslin | Radiology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2014-05-28 |
| 1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
| 1578879151 | Blake A Watson | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-08-20 |
| Find all providers in TYLER | ||||
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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.