MR. KEVIN T. LIE (NPI# 1659570455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659570455 |
| Entity Type | Individual |
| Full Name | MR. KEVIN T. LIE |
| Credential | MD |
| Practice Address |
4755 Ogletown - Stanton Road Suite 1e20 Newark DE 19718 |
| Practice Telephone | 3027335625 |
| Practice Fax Number | 3027335665 |
| Mailing Telephone | 3027335625 |
| Mailing Fax Number | 3027335665 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0903X |
Nuclear Medicine Specialization: In Vivo & In Vitro Nuclear Medicine |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
35090995 | OH | Allopathic & Osteopathic Physicians |
| N | 2085H0002X |
Radiology Specialization: Hospice and Palliative Medicine |
35090995 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 465114 | 01 |
| OH | CARESOURCE | 204881619259 | 01 |
| PA | 1025726440001 | 05 | |
| OH | RAILROAD MEDICARE | P00648554 | 01 |
| OH | 2788381 | 05 |
| Street Address |
4755 OGLETOWN - STANTON ROAD SUITE 1E20 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861477390 | Janet G. Dutcher | Nurse Practitioner | 4755 Ogletown - Stanton Road, Room 2990, Newark, DE 19718 | 2005-12-07 |
| 1134395445 | Christopher Joseph Grilli | Radiology | 4755 Ogletown - Stanton Road, Suite 1e-20, Newark, DE 19718 | 2008-05-06 |
| 1063572519 | Barbara J Albani | Specialist | 4755 Ogletown - Stanton Road, Suite 1e10, Newark, DE 19718 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063821726 | Michael Warhit | Radiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2014-08-07 |
| 1851730360 | Helen Hyejin Paik | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-4238 | 2013-06-18 |
| 1942553615 | Christiana Care Health Services Inc | Radiology | 4755 Ogletown Stanton Rd, Christiana Hospital, Newark, DE 19718-2200 | 2012-10-18 |
| 1346592417 | Jose Juan Diaz Hernandez | Radiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-10-12 |
| 1588921829 | Uchenna Nwosu | Radiology | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2012-04-11 |
| 1780903278 | Basit Khan Achakzai | Radiology | 150 Bergen St # Streetc, Newark, NJ 07103 | 2010-05-24 |
| 1154556835 | Sujoy Menon | Radiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2009-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995514 | Endovascular Consultants, LLC | Radiology | 202 S Ashview Ln, Wilmington, DE 19807-2171 | 2016-11-22 |
| 1033539168 | Geh Meh Chu | Radiology | 640 S State St, Dover, DE 19901-3530 | 2014-04-16 |
| 1164421574 | Imaging Group of Delaware, Pa | Radiology | 701 N Clayton St, Wilmington, DE 19805-3165 | 2005-07-18 |
Please comment or provide details below to improve the information on MR. KEVIN T. LIE.
| 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.