DR. KENDRICK E. LEE (NPI# 1508833377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508833377 |
| Entity Type | Individual |
| Full Name | DR. KENDRICK E. LEE |
| Credential | MD |
| Practice Address |
3315 Broadway Oakland CA 94611-5717 |
| Mailing Address |
200 Porter Dr Suite 101 San Ramon CA 94583-1587 |
| Practice Telephone | 5104862300 |
| Practice Fax Number | 5104862333 |
| Mailing Telephone | 9258381440 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
G62668 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G626680 | 05 | |
| CA | BLUE SHIELD | 00G626680 | 01 |
| CA | RAIL ROAD MEDICARE | 200018919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508094491 | Kendrick Lee | Anesthesiology | 30 Hagen Dr, Suite 230, Rochester, NY 14625-2658 | 2009-06-30 |
| 1265531776 | Kendrick W. Lee | Emergency Medicine | 407 Uluniu St, 4th Floor, Kailua, HI 96734-2519 | 2006-09-21 |
| Street Address |
3315 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041938 | Thomas Winfield Peatman | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2005-08-30 |
| 1659846483 | Alexandra Michele Kuizenga | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2018-10-08 |
| 1770014367 | Ambreen Zaman | Physician Assistant | 3315 Broadway, Street Level, Oakland, CA 94611-5717 | 2017-03-24 |
| 1538601182 | Trese Biagini | Nurse Practitioner | 3315 Broadway, Oakland, CA 94611-5717 | 2016-11-14 |
| 1578796439 | Shawn Charles Lies | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2009-08-26 |
| 1922294719 | Eric S Stuffmann | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2007-09-14 |
| 1679778252 | Kevin M Roth | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2007-06-15 |
| 1265581037 | Ross Talarico | Podiatrist | 3315 Broadway, Oakland, CA 94611-5717 | 2007-01-09 |
| 1801839188 | Michael J Duffy | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2006-06-14 |
| 1316914385 | Webster Orthopaedic Medical Group, A Professional Corporation | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023428901 | Austin Arlo Pitcher | Orthopaedic Surgery | 3315 Broadway Fl 1, Oakland, CA 94611-5717 | 2014-05-01 |
| 1922294719 | Eric S Stuffmann | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2007-09-14 |
| 1578626271 | Douglas Howard Chin | Orthopaedic Surgery | 80 Grand Avenue, Suite 810, Oakland, CA 94612-3729 | 2006-12-18 |
| 1205914090 | Charlotte Shum | Orthopaedic Surgery | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027050 | Bay Area Surgical Specialists | Orthopaedic Surgery | 2505 Samaritan Dr Ste 208, San Jose, CA 95124-4008 | 2019-01-16 |
| 1316484504 | James Angus Turner | Orthopaedic Surgery | 2190 Washington St, Suite 404, San Francisco, CA 94109-2869 | 2017-01-25 |
| 1477906717 | Phuc Dang, Md Corporation | Orthopaedic Surgery | 1006 Mission Dr Apt A, Suite 200, Costa Mesa, CA 92626-4217 | 2016-07-21 |
| 1528423506 | H. Relton Mccarroll Jr. Md A Medical Corporation | Orthopaedic Surgery | 2351 Clay St Ste 510, San Francisco, CA 94115-1931 | 2015-12-17 |
| 1598174492 | Paul J. Casey, Md Inc | Orthopaedic Surgery | 969 Blue Heron, Seal Beach, CA 90740-5611 | 2014-08-05 |
| 1932547536 | Hassan Jon Azimi | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2013-06-06 |
| 1114265949 | Wayne Pan | Orthopaedic Surgery | 1475 Grandview Dr, Ms 354-g, Room 354171, South San Francisco, CA 94080-4901 | 2013-01-29 |
| 1720348162 | Ryu Yoshida | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2012-05-19 |
| 1285933424 | Anna Marie Acosta | Orthopaedic Surgery | 1760 Termino Ave Ste 308, Long Beach, CA 90804 | 2011-03-25 |
| 1508161472 | Nancy Lynch | Orthopaedic Surgery | 210 42nd Ave, San Mateo, CA 94403-5002 | 2011-01-24 |
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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.