JARED T LEE (NPI# 1568667145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568667145 |
| Entity Type | Individual |
| Full Name | JARED T LEE |
| Credential | M.D. |
| Practice Address |
3030 Big Horn Ave Cody WY 82414-9208 |
| Practice Telephone | 3075781955 |
| Mailing Telephone | 3075781955 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9359A | WY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051292 | Jared Cory Lee | Student in an Organized Health Care Education/Training Program | 3950 65th Pl, Woodside, NY 11377-3781 | 2019-03-05 |
| 1306397591 | Jared Lee | Counselor | 3100 Raleigh Ave Apt 205, St Louis Park, MN 55416-2226 | 2016-10-22 |
| 1972949352 | Jared Jung-taek Lee | Internal Medicine | 12700 East 19th Ave, Amc, Research 2, Box C272, 9th Flr, Aurora, CO 80045 | 2013-05-13 |
| 1669740759 | Jared David Lee | Dentist | 10003 Nw Military Hwy Ste 3201, San Antonio, TX 78231-1892 | 2011-12-05 |
| 1891075982 | Jared Taylor Lee | Dentist | 800 E Main St Ste A, Santa Paula, CA 93060-2712 | 2011-08-22 |
| 1316172133 | Jared Thomas Lee | Chiropractor | 2500 Maplewood Dr, Suite 3, Sulphur, LA 70663-6100 | 2009-05-22 |
| 1235393190 | Jared W Lee | Dentist | 11228 Hillcrest St, Loma Linda, CA 92354-2906 | 2008-07-10 |
| 1578182143 | Jared Lee | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 668, Rochester, NY 14642-0001 | 2020-04-13 |
| 1598272833 | Jared Wing Lee | Pharmacist | 12549 Foothill Blvd, Rancho Cucamonga, CA 91739-9317 | 2018-01-09 |
| 1205220019 | Jared Lee | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2015-03-19 |
| Street Address |
3030 BIG HORN AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669469227 | Glen Jeffrey Poffenbarger | Neurological Surgery | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2005-09-29 |
| 1306405790 | Jennifer Lindsay Warner | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2019-06-10 |
| 1053821066 | Kayla Nagle | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2017-10-04 |
| 1487815742 | Rachael M. Bracke | Hospitalist | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2008-06-19 |
| 1134249725 | Big Horn Basin Bone & Joint, LLC | Orthopaedic Surgery | 3030 Big Horn Ave, Cody, WY 82414 | 2007-03-29 |
| 1922104595 | Kerry Bower | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-09-14 |
| 1790764520 | Brett J Argeris | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2006-01-11 |
| 1992787980 | John R Vipperman | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982645636 | Peter E Bergquist | Orthopaedic Surgery | 6600 E 2nd Street, Casper, WY 82609-4348 | 2006-06-10 |
| 1972701381 | Wyoming Orthopedic and Sports Medicine, LLC | Orthopaedic Surgery | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2007-07-06 |
| 1518047588 | Bruce D Smith | Orthopaedic Surgery | 4017 Rawlins St, Cheyenne, WY 82001-1800 | 2006-10-16 |
| 1184638165 | Larry Vengenderen | Orthopaedic Surgery | 1909 Vista Dr, Laramie, WY 82070 | 2006-07-28 |
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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.