DR. KYONG JIN LEE (NPI# 1417426248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417426248 |
| Entity Type | Individual |
| Full Name | DR. KYONG JIN LEE |
| Credential | MD |
| Practice Address |
1000 E Broad St Richmond VA 23219-1930 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048282467 |
| Practice Fax Number | 8048288517 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101265554 | VA | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101265554 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101265554 | VA | Allopathic & Osteopathic Physicians |
| N | 207RA0002X | 0101265554 | VA | ||
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
0101265554 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Richmond, VA 232985051 | 8048282467 | 8048288517 |
| Street Address |
1000 E BROAD ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305884 | Alyssa Regula | Dietitian, Registered | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-08-04 |
| 1932722667 | Jaimie Mary Parambil | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-28 |
| 1396368130 | Samuel Jonathan Pouncey | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
| 1396368155 | Christopher Ferrante | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
| 1780221226 | Erica Michelle Mitchell | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-12-03 |
| 1295376135 | Christina N. Murphy | Psychologist | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-10-02 |
| 1003377805 | Jessica Hallam | Registered Nurse | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-03-26 |
| 1386121416 | Lisa Lynn Rettig | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-07-21 |
| 1760973382 | Brook Vanbuesking | Social Worker | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-05-21 |
| 1033609631 | Shelby Fogleman | Social Worker | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337910 | Patricia Young Flynn | Psychologist | Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 | 2018-05-21 |
| 1558859173 | Marie Rhodes-dawson | Psychologist | 301 North Ninth Street, Richmond, VA 23219 | 2018-04-30 |
| 1639674369 | Kelly Schmid Mccrowell | Psychologist | 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 | 2018-03-26 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| 1780103234 | Brandy Lakesha Rushing | Counselor | 107 S. 5th Street, Richmond, VA 23219 | 2017-09-15 |
| 1134676679 | Richa Chibbar | Student in an Organized Health Care Education/Training Program | 230 N 6th St, Unit 204, Richmond, VA 23219 | 2016-09-01 |
| 1578974788 | Kinlee Stewart | Counselor | 409 E. Main St, #204, Richmond, VA 23219 | 2014-05-12 |
| 1760814941 | Ivey Contacting Service,inc | Day Training, Developmentally Disabled Services | 501 East Frnklin St Stu 724, Richmond, VA 23219 | 2013-07-30 |
| 1154665883 | Ashley Hoover Rhoades | Nurse Practitioner | 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 | 2012-11-19 |
| 1932461852 | New Legacy Youth Services, LLC | Community/Behavioral Health | 904 North 1st Street, Richmond, VA 23219 | 2012-06-15 |
| Find all providers in zip 23219 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710216734 | Richard Merrill Schieken | Pediatrics | 422 September Dr, Richmond, VA 23229-7318 | 2009-12-22 |
| 1558747592 | Pediatric Cardiology of Central Virginia PC | Pediatrics | 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 | 2015-07-31 |
| 1720498850 | Megan Christine Dibble Sirota | Pediatrics | 1250 E Marshall St, Box 980264, Richmond, VA 23298-5051 | 2014-04-28 |
| 1467689547 | Uyen T Truong | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2009-06-16 |
| 1679734818 | Kerri Anne Carter | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2008-06-20 |
| 1336341239 | Andrew Seung-eun Kim | Pediatrics | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2007-06-03 |
| 1740317411 | Joanna Beth Rosenthal | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2007-02-28 |
| 1326142753 | Scott D Gullquist | Pediatrics | 1250 E Marshall Street, Pediatrics, Richmond, VA 23298-0646 | 2006-09-07 |
| 1629010541 | Gerald T. Albrecht Jr. | Pediatrics | 5875 Bremo Rd, Ste 500, Richmond, VA 23226-1934 | 2006-06-12 |
| 1114966553 | Bradford R. Mcquilkin | Pediatrics | 1250 E Marshall St, Dept. of Pediatrics/pediatric Cardiology, Richmond, VA 23298-5051 | 2006-06-04 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on DR. KYONG JIN LEE.
| 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.