PAUL JAW-SHYANG LEE (NPI# 1710075239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710075239 |
| Entity Type | Individual |
| Full Name | PAUL JAW-SHYANG LEE |
| Other Name | PAUL J LEE |
| Credential | DO |
| Practice Address |
855 Montgomery Fort Worth TX 76107-2553 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 8179206300 |
| Mailing Telephone | 8179206300 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | L4521 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | L4521 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0027NK | 01 |
| TX | 156295111 | 05 | |
| TX | 156295110 | 05 | |
| TX | 156295117 | 05 | |
| TX | BCBS | 8BQ000 | 01 |
| TX | FIRSTCARE INDIVIDUAL # | 139342101 | 01 |
| TX | BCBS | 8EX921 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386195543 | Paul Lee | Early Intervention Provider Agency | 9145 Las Vegas Blvd S, D3042, Las Vegas, NV 89123-3308 | 2016-10-21 |
| 1497175236 | Paul Nicholas Lee Jr. | Emergency Medicine | 1626 Parkmoor Ct, Mobile, AL 36695-4385 | 2014-04-20 |
| 1740621960 | Paul Y Lee | Acupuncturist | 155 E 3rd St, New York, NY 10009-7424 | 2013-07-16 |
| 1619227352 | Paul Chong Chan Lee | Dentist | 933 S Sunset Ave Ste 208, West Covina, CA 91790-3410 | 2012-09-10 |
| 1629325923 | Paul Tsz Tun Lee | Dentist | 2600 Crystal Dr, #420, Arlington, VA 22202-3566 | 2012-08-07 |
| 1497029680 | Paul K Lee | Radiology | 32 Walnut Ln, Hicksville, NY 11801-5715 | 2012-03-06 |
| 1780965087 | Paul Cristopher Lee | Case Manager/Care Coordinator | 1808 Foxfire Rd, Edmond, OK 73003-6202 | 2011-08-31 |
| 1336382472 | Paul Sung Lee | Radiology | 401 35th St, Sacramento, CA 95816-3403 | 2009-04-17 |
| 1003078981 | Paul Chen Lee | Physical Medicine & Rehabilitation | 1440 N Harbor Blvd Ste 100, Fullerton, CA 92835-4114 | 2008-07-01 |
| 1962693168 | Paul S. Lee | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2007-08-05 |
| Street Address |
855 MONTGOMERY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711747 | Victor Lamont Holmes | Physician Assistant | 855 Montgomery, Fort Worth, TX 76107-2553 | 2005-09-20 |
| 1093117848 | Keely Nicole Grant Mirle | Nurse Practitioner | 855 Montgomery, Fort Worth, TX 76107-2553 | 2014-09-24 |
| 1750722187 | Felicia Ann Hoffman | Physician Assistant | 855 Montgomery, Fort Worth, TX 76107-2553 | 2013-07-15 |
| 1194075101 | Christie Peer Shanafelt | Neuromusculoskeletal Medicine & OMM | 855 Montgomery, Fort Worth, TX 76107-2553 | 2012-09-17 |
| 1760737142 | Tomi Omolara Ola-peters | Internal Medicine | 855 Montgomery, Fort Worth, TX 76107-2553 | 2012-07-20 |
| 1386930709 | Crystal Diane Walker | Physician Assistant | 855 Montgomery, Fort Worth, TX 76107-2553 | 2011-06-23 |
| 1881908598 | America E Mcguffee | Physician Assistant | 855 Montgomery, Fort Worth, TX 76107-2553 | 2010-08-05 |
| 1144534173 | James Raymond Leddy | Physician Assistant | 855 Montgomery, Fort Worth, TX 76107-2553 | 2010-08-02 |
| 1548401094 | Yue-qing Tan | Internal Medicine | 855 Montgomery, Fort Worth, TX 76107-2553 | 2009-03-13 |
| 1386892966 | Anjali Kumar | Family Medicine | 855 Montgomery, Fort Worth, TX 76107-2553 | 2008-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1952870354 | Nancy Carolina Nicoloso | Family Medicine | 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 | 2018-11-15 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| 1609307115 | Yara Hamade Gonzales | Family Medicine | 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 | 2017-03-26 |
| 1558732321 | Andres Morgado Perez | Family Medicine | 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 | 2015-10-19 |
| 1114304805 | Davis Wellness Ltd LLP | Family Medicine | 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 | 2015-05-01 |
| 1902298417 | Jack Lynwood Judson, Md | Family Medicine | 1800 Malibar Rd, Fort Worth, TX 76116-1834 | 2015-02-21 |
| 1104243468 | Henry Dollahite | Family Medicine | 6205 Locke Ave, Fort Worth, TX 76116-4636 | 2014-03-25 |
| 1447676689 | Janet Shackelford | Family Medicine | 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 | 2014-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.