THEODORE MARK LEE (NPI# 1689606881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689606881 |
| Entity Type | Individual |
| Full Name | THEODORE MARK LEE |
| Credential | MD |
| Practice Address |
1800 Peachtree St. Nw Suite 720 Atlanta GA 30309-2511 |
| Practice Telephone | 4043517520 |
| Practice Fax Number | 4043552048 |
| Mailing Telephone | 4043517520 |
| Mailing Fax Number | 4043552048 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
024014 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 480827 | 01 | |
| AETNA | 0481981 | 01 | |
| CIGNA | 2754388008 | 01 | |
| GA | RAILROAD MEDICARE | P00162933 | 01 |
| GA | 00278649H | 05 | |
| GA | MEDICADE | 00278649K | 01 |
| COVENTRY | 1950 | 01 | |
| KAISER POS | 8791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154550176 | Theodore C Lee | Internal Medicine | 8035 189th St, Jamaica, NY 11423-1034 | 2009-07-12 |
| 1154716967 | Theodore Lee | Allergy & Immunology | 72 E Concord St, Boston, MA 02118 | 2015-03-30 |
| 1912311234 | Theodore Tak Lee | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2014-06-14 |
| 1245428945 | Theodore Taewoo Lee | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2007-10-09 |
| 1518034438 | Theodore F. Lee | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1275558900 | Theodore T. Lee | Internal Medicine | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2006-07-13 |
| 1083656193 | Theodore J. Lee | Radiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-06-12 |
| 1043218308 | Theodore Lee | Radiology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-07-11 |
| Street Address |
1800 PEACHTREE ST. NW SUITE 720 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339756 | Carol Ann Wiggins | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-06-29 |
| 1114959319 | Amy Hara Hirsh | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075873 | Atlanta Wide Mobile Testing, LLC | Allergy & Immunology | 2215 Cheshire Bridge Rd Ne Ste C, Atlanta, GA 30324-4234 | 2018-03-02 |
| 1326119918 | Gregg Robert Sachs | Allergy & Immunology | 5555 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30342-1710 | 2006-11-13 |
| 1952339756 | Carol Ann Wiggins | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-06-29 |
| 1083641591 | Umbreen Saheed Lodi | Allergy & Immunology | 2740 Bert Adams Rd. Nw, Suite 150, Atlanta, GA 30339 | 2006-06-28 |
| 1922412683 | Advanced Medical Weight Loss Center | Allergy & Immunology | 1100 Spring St Nw, Suite 150, Atlanta, GA 30309-2846 | 2014-06-19 |
| 1841432457 | Tricia Lee | Allergy & Immunology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2009-03-27 |
| 1225158116 | Allergy & Asthma of Atlanta, LLC | Allergy & Immunology | 3340 Peachtree Rd Ne, Tower Place 100, Suite 600, Atlanta, GA 30326-1000 | 2007-04-02 |
| 1811035652 | Peachtree Allergy and Asthma Clinic PC | Allergy & Immunology | 1800 Peachtree St Nw, Suite 720, Atlanta, GA 30309-2519 | 2007-02-02 |
| 1114959319 | Amy Hara Hirsh | Allergy & Immunology | 1800 Peachtree St. Nw, Suite 720, Atlanta, GA 30309-2511 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749211 | Northeast Georgia Physicians Group, Inc. | Allergy & Immunology | 1515 River Pl Ste 380, Braselton, GA 30517-5605 | 2020-04-20 |
| 1215597828 | The Coble Group, LLC | Allergy & Immunology | 3875 Roland Hayes Pkwy Sw, Calhoun, GA 30701-7501 | 2019-06-17 |
| 1932683083 | Quick Care Diagnostics LLC | Allergy & Immunology | 4760 Austell Rd Ste 7, Austell, GA 30106-2007 | 2018-09-24 |
| 1669986709 | Thomas Chacko M.d. P.c | Allergy & Immunology | 330 Newcastle Dr, Alpharetta, GA 30009-7162 | 2017-11-28 |
| 1053868083 | Savannah Respiratory and Allergy Associates, P.C. | Allergy & Immunology | 1 Mulberry Bluff Dr, Savannah, GA 31406-3270 | 2016-09-07 |
| 1356616338 | Eleven 11 Medical Management, LLC | Allergy & Immunology | 438 Henry Ford II Ave, Hapeville, GA 30354-1622 | 2012-03-09 |
| 1972871960 | Haeja K. Jung | Allergy & Immunology | 9175 Etching Overlook, Johns Creek, GA 30097 | 2011-12-06 |
| 1295012631 | Southeast Asthma and Allergy Center, PC | Allergy & Immunology | 511 Gordon Ave, Thomasville, GA 31792-6645 | 2011-11-14 |
| 1225340540 | Adesh D. Patel | Allergy & Immunology | 3300 Old Milton Pkwy Ste 125, Alpharetta, GA 30005-2426 | 2010-07-02 |
| 1831285618 | Ruchir Agrawal | Allergy & Immunology | 115 Genevieve Ct, Peachtree City, GA 30269 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
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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.