JAE YOUNG LEE (NPI# 1669580478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669580478 |
| Entity Type | Individual |
| Full Name | JAE YOUNG LEE |
| Credential | MD |
| Practice Address |
200 Hawkins Drive University of Iowa Hospitals and Clinics Iowa City IA 52242 |
| Practice Telephone | 3193563375 |
| Practice Fax Number | 3193562220 |
| Mailing Telephone | 3193563375 |
| Mailing Fax Number | 3193562220 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
SP181 | IA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
SP181 | IA | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
SP181 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 20606 | 01 |
| IA | 0729459 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356650410 | Jae Young Lee | Internal Medicine | 9104 Babcock Blvd Ste 1106, Pittsburgh, PA 15237-5818 | 2010-10-06 |
| 1447615570 | Jae Young Lee | Registered Nurse | 6500 W Newberry Rd, Cardiovascular Unit, Gainesville, FL 32605-4309 | 2015-12-16 |
| Street Address |
200 HAWKINS DRIVE UNIVERSITY OF IOWA HOSPITALS AND CLINICS |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1679190730 | Samira Nirvan Vithani | Anesthesiology | 200 Hawkins Drive, 6546jcp, Iowa City, IA 52242 | 2020-07-06 |
| 1790309847 | Samuel Jacob Irving | Emergency Medicine | 200 Hawkins Drive, Dept of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-06-04 |
| 1538783501 | Mitch Edward Patrick | Surgery | 200 Hawkins Drive, Department of Surgery, Iowa City, IA 52242 | 2020-06-04 |
| 1831713171 | Andrew Storm | Obstetrics & Gynecology | 200 Hawkins Drive, Department of Obgyn 31141 Pfp, Iowa City, IA 52242-1009 | 2020-06-02 |
| 1740803220 | Emily Mills | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1992328439 | Natalie Martin | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242-1009 | 2020-05-19 |
| 1174145817 | Alexander Novak | Anesthesiology | 200 Hawkins Drive, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2020-05-16 |
| 1710509781 | Melvin Turner Donaldson | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242 | 2020-05-13 |
| 1114549417 | Farhan Shahab | Emergency Medicine | 200 Hawkins Drive, Dept. of Emergency Medicine, Iowa City, IA 52242 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507312 | Adriana Goncalves Juliano | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-08-09 |
| 1144873100 | Pritish Yashwantrao Aher | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-07-18 |
| 1558836346 | Khalid Balawi | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2018-10-08 |
| 1033605423 | Nobuhiro Fujita | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-09 |
| 1700301082 | Ravishankar Pillenahalli Maheshwarappa | Radiology | 200 Hawkins Dr, Department of Radiology, Iowa City, IA 52242 | 2017-08-08 |
| 1356878425 | Francisco Donato Junior | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-05-18 |
| 1760832513 | Nandita Agarwal | Radiology | 200 Hawkins Dr, Department of Radiology, Iowa City, IA 52242-1009 | 2016-06-13 |
| 1255716767 | Maria Laura Gregorio | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2015-07-26 |
| 1730445016 | Richard Beutler | Radiology | 200 Hawkins Dr, Radiology Department, Iowa City, IA 52242-1009 | 2012-04-11 |
| 1811253552 | Kousei Ishigami | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2012-04-06 |
| Find all providers in IOWA CITY | ||||
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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.