GRACE LEE (NPI# 1508937269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508937269 |
| Entity Type | Individual |
| Full Name | GRACE LEE |
| Credential | MD |
| Practice Address |
133 Brookline Ave Fertility and Reproductive Endocrinology Boston MA 02215-3904 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6174211191 |
| Practice Fax Number | 6174215828 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
225323 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0035994 | 01 |
| MA | 2106469 | 05 | |
| MA | BLUE CROSS | J29084 | 01 |
| MA | CIGNA | 0991522 | 01 |
| MA | HARVARD PILGRIM | AA39640 | 01 |
| MA | TUFTS HEALTH PLAN | 470422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827980 | Grace J Lee | Pharmacist | 6423 217th St, Oakland Gardens, NY 11364-2235 | 2017-12-14 |
| 1043664360 | Grace Eugene Lee | Behavioral Analyst | 14510 Ne 20th St, #203, Bellevue, WA 98007-3715 | 2016-04-22 |
| 1114386547 | Grace Eun Lee | Marriage & Family Therapist | 24941 Overland Dr, Laguna Hills, CA 92653-5077 | 2016-02-12 |
| 1932580743 | Grace Lee | Family Medicine | 7474 N Grand Pkwy W, Spring, TX 77379-1570 | 2015-06-17 |
| 1639561954 | Grace E Lee | Counselor | 2 Maria Ct, Holmdel, NJ 07733-2748 | 2015-02-24 |
| 1184054058 | Grace Eunah Lee | Dentist | 11016 Via Del Corso, Riverside, CA 92505-2384 | 2013-11-13 |
| 1205274776 | Grace T Lee | Chiropractor | 10500 Northwest Fwy Ste 110, Houston, TX 77092-8208 | 2013-06-06 |
| 1568776151 | Grace Lee | Optometrist | 20 City Blvd W Ste 919, Orange, CA 92868-3115 | 2010-08-06 |
| 1740424852 | Grace Lee | Occupational Therapist | 20904 28th Rd, Bayside, NY 11360-2413 | 2009-04-21 |
| 1316196033 | Grace P. Lee | Psychologist | 115 E 57th Street, Suite 640, New York, NY 10022-4030 | 2008-09-17 |
| Street Address |
133 BROOKLINE AVE FERTILITY AND REPRODUCTIVE ENDOCRINOLOGY |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084833 | Claire Tine Cronin | Surgery | 133 Brookline Ave, Boston, MA 02215-3904 | 2005-06-23 |
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1629604889 | Jessica Lareau | Counselor | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-03-19 |
| 1922651199 | Rachel Lang Caso | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2019-07-17 |
| 1134698244 | Ewan D Mcnicol | Pharmacist | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-11-19 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1477038867 | Chantal C. Coughlin | Nurse Practitioner | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-01 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013022078 | Charles-chidi W Obasiolu | Obstetrics & Gynecology | Ctr for Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215 | 2006-08-20 |
| 1639150394 | Serene Samir Srouji | Obstetrics & Gynecology | Department of Obstetrics and Gynecology, 75 Francis Street Asb1, Boston, MA 02115 | 2005-11-09 |
| 1245306976 | Massachusetts General Physicians Organization, Inc | Obstetrics & Gynecology | 55 Fruit St, Yaw 10a, Boston, MA 02114-2621 | 2006-11-27 |
| 1255345146 | Antonio Rosario Gargiulo | Obstetrics & Gynecology | 75 Francis Street, Brigham and Womens Hospital Center for Reproductive Med, Boston, MA 02115 | 2006-07-28 |
| 1518985050 | Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1437100310 | Janis Heidi Fox | Obstetrics & Gynecology | 75 Francis St, Brigham and Womens Hospital Dept of Obstetrics and Gyne, Boston, MA 02115 | 2006-05-15 |
| 1720038276 | Mark Donald Hornstein | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115 | 2006-05-12 |
| 1528026143 | Mary E Morris | Obstetrics & Gynecology | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2006-05-03 |
| 1245297878 | Brian William Walsh | Obstetrics & Gynecology | 75 Francis Street, Center for Reproductive Medicine, Boston, MA 02115 | 2006-04-27 |
| 1871574285 | John Christopher Petrozza | Obstetrics & Gynecology | 55 Fruit St, Yaw 10 Vincent Ob/gyn- Reproductive Med & Ivf, Boston, MA 02114-2621 | 2005-11-11 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on GRACE 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.