MAXIMILIAN LEE (NPI# 1518143478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518143478 |
| Entity Type | Individual |
| Full Name | MAXIMILIAN LEE |
| Credential | M.D. |
| Practice Address |
747 Broadway Seattle WA 98122-4379 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063866000 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60222397 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494484 | Maximilian Samuel Lee | Emergency Medicine | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2005-08-19 |
| 1447379375 | Maximilian H Lee | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2007-03-29 |
| Street Address |
747 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935960 | Marilee M. Jensen | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2005-07-07 |
| 1366058919 | Mairghread Foley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-18 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1972116010 | Lindsey Gervascio | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2020-08-28 |
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1023633187 | Hang Hoang-nguyen | Pharmacist | 747 Broadway, Seattle, WA 98122-4307 | 2020-06-14 |
| 1558981357 | Caitlin Elizabeth Busbee | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-21 |
| 1164041323 | Emma Ludesi Makoba | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4379 | 2020-04-08 |
| 1043849375 | Kaitlin Jane Byerly | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-07 |
| 1649809161 | Jia Hui Wang | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1548559552 | Stephen Michael Vindigni | Internal Medicine | 1959 Ne Pacific St, Room Bb-527, Seattle, WA 98195-6421 | 2011-03-30 |
| 1831498203 | Sophia Mansfield Swanson | Internal Medicine | 125 16th Ave, Seattle, WA 98122 | 2011-03-24 |
| 1003906959 | Anne M Larson | Internal Medicine | 1560 N 115th St Ste 207, Seattle, WA 98133-8414 | 2006-10-13 |
| 1497725238 | Steven Thomas Lewis | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-24 |
| 1003818709 | Andrew Dean Feld | Internal Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2005-08-11 |
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1689109126 | Adil Ghafoor | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-04-21 |
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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.