MR. OLIVER TIEH-SHUN LEE (NPI# 1689827206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689827206 |
| Entity Type | Individual |
| Full Name | MR. OLIVER TIEH-SHUN LEE |
| Credential | PA-C |
| Practice Address |
11801 Sw 90th St Suite 201 Miami FL 33186-2182 |
| Practice Telephone | 3055951317 |
| Practice Fax Number | 7867872968 |
| Mailing Telephone | 3055951317 |
| Mailing Fax Number | 7867872968 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104482 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891292736 | Oliver Federico Lee | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-08 |
| 1235639097 | Oliver Jason Lee | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2018-02-19 |
| 1407244668 | Oliver Lee | Physical Therapist | 602 Vonderburg Dr, #201, Brandon, FL 33511-5900 | 2014-12-22 |
| 1306192075 | Oliver M Lee | Family Medicine | 2347 5th Ave, Mckeesport, PA 15132-1126 | 2012-07-31 |
| 1427056910 | Oliver Chin-tin Lee | Anesthesiology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2005-07-08 |
| Street Address |
11801 SW 90TH ST SUITE 201 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844303 | Mauricio Fernando Herrera | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2005-07-13 |
| 1619321684 | Mivip Anesthesia Group LLC | Clinic/Center | 11801 Sw 90th St, Suite 202, Miami, FL 33186-2182 | 2016-04-15 |
| 1851779029 | Miami Regional Surgery Center LLC | Clinic/Center | 11801 Sw 90th St, 202, Miami, FL 33186-2182 | 2015-05-08 |
| 1467854208 | Simon E Valladares | Physician Assistant | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2014-09-24 |
| 1275879132 | Premiercare Surgery Center of Kendall, LLC | Clinic/Center | 11801 Sw 90th St, Miami, FL 33186-2182 | 2012-12-21 |
| 1669723953 | Ce Ceballos Md, LLC | Orthopaedic Surgery | 11801 Sw 90th St, Suite 202, Miami, FL 33186-2182 | 2012-09-26 |
| 1063787042 | Montserrat Buia, M.d., P.a. | Family Medicine | 11801 Sw 90th St, 105, Miami, FL 33186-2182 | 2012-03-09 |
| 1073758371 | Felix A Stanziola, Md, Pa | Specialist | 11801 Sw 90th St, Suite 101, Miami, FL 33186-2182 | 2008-12-16 |
| 1326230442 | Amar Dilip Rajadhyaksha | Orthopaedic Surgery | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-08-13 |
| 1366646077 | Liam Mccarthy | Physical Medicine & Rehabilitation | 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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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.