CHONG CHIN LEE (NPI# 1497855647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497855647 |
Entity Type | Individual |
Full Name | CHONG CHIN LEE |
Credential | MD |
Practice Address |
3501 Cranberry Blvd Weston WI 54476 |
Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
Practice Telephone | 7158473600 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2010-03-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
43570 | WI | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 43570 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34124400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336569037 | Chong Lee | Registered Nurse | 5107 Birch St, Schofield, WI 54476-2508 | 2014-04-21 |
1518267699 | Chong Lee | Pharmacist | 15543 Union Ave, Los Gatos, CA 95032-3904 | 2010-10-23 |
1366653958 | Chong Lee | Developmental Therapist | 11980 Dumont Rd, Philadelphia, PA 19116-2321 | 2007-05-24 |
1235342346 | Chong Hyun Lee | Internal Medicine | 80 Seaman Avenue, #1b, New York, NY 10034 | 2007-05-07 |
1467591008 | Chong Lee | Chiropractor | 3251 W 6th St Ste 450, Los Angeles, CA 90020-5018 | 2007-02-06 |
1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
1982776985 | Chong S Lee | Obstetrics & Gynecology | 14250 Roosevelt Ave # 1b, Flushing, NY 11354-6042 | 2006-11-14 |
1689752677 | Chong Yoon Lee | Dentist | 13270 Rose St, Cerritos, CA 90703-8644 | 2006-11-01 |
1033137773 | Chong Il Lee | Dentist | 1739 S Euclid Ave, Suite A, Ontario, CA 91762 | 2006-07-18 |
1538187943 | Chong W Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4901 Seminary Rd Ste 110, Alexandria, VA 22311-1801 | 2006-07-17 |
Street Address |
3501 CRANBERRY BLVD |
City | WESTON |
State | WI |
Zip Code | 54476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500718 | William J Moran | Otolaryngology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2005-07-07 |
1356956015 | Stacey Lee Meyer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-09-10 |
1992336655 | Mchs Hospitals, Inc. | Clinic/Center | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-01-31 |
1548804511 | Alyssa Anne Hovda | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2019-11-03 |
1144875824 | Rebecca Ann Kollross | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476 | 2019-08-08 |
1891266060 | Laura Lauer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-12-16 |
1356816201 | Khamal Misra | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-10-08 |
1164915971 | Crystal Farrand | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-06-07 |
1336663863 | Elijah Blair | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2017-07-26 |
1275915597 | Kari Mizgalski | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2015-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972693018 | James David Hall | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3301 Cranberry Blvd, Weston, WI 54476-5216 | 2006-10-12 |
1285694810 | Mercedes K C Dullum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558922575 | David Richard Healy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Clairemont Ave # West, Eau Claire, WI 54701-5105 | 2019-06-21 |
1225492986 | Mahmood Mirhoseini | Thoracic Surgery (Cardiothoracic Vascular Surgery) | N124w16862 Lovers Ln, Germantown, WI 53022-1924 | 2016-04-08 |
1427349075 | Amanda Leigh Eilers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401-4123 | 2011-04-29 |
1972730745 | Robert Cesar Gomez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 63 Cambridge Rd, Madison, WI 53704-5961 | 2009-06-18 |
1518104470 | Green Bay Cardiothoracic & Vascular, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 So. Vanburen Street, Suite 303, Green Bay, WI 54301 | 2009-01-14 |
1790921930 | Salvior Mok | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1818 N Meade St Ste N347, Appleton, WI 54911-3454 | 2008-12-17 |
1942496724 | Anselmo A Nunez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2600 Stewart Ave Ste 148, Wausau, WI 54401-1403 | 2007-09-14 |
1164510871 | George R. Reiss IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 700 S. Park St, Madison, WI 53715-1830 | 2006-10-10 |
1487667549 | Steven J Gerndt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 S Webster Ave, Suite 303, Green Bay, WI 54301-3538 | 2006-08-13 |
1609889757 | Kevin A Greer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 South Van Buren Street, Suite 303, Green Bay, WI 54301 | 2006-08-13 |
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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.