SAMUEL SANG LEE (NPI# 1710320718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710320718 |
Entity Type | Individual |
Full Name | SAMUEL SANG LEE |
Credential | M.D. |
Practice Address |
7901 Lake Manassas Dr Gainesville VA 20155-3257 |
Mailing Address |
550 First Ave Nyu Langone Medical Center New York NY 10016 |
Practice Telephone | 5712222200 |
Practice Fax Number | 5712222202 |
Mailing Telephone | 2122635506 |
Enumeration Date | 2013-04-10 |
Last Update Date | 2019-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101266589 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1710320718 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
1033538954 | Samuel Lee | Anesthesiology | 100 Michign St Ne, Grand Rapids, MI 49503-2560 | 2014-04-08 |
1649606401 | Samuel Shih-yu Lee | Counselor | 906 E 5th St, Suite 201, Austin, TX 78702-3861 | 2013-09-24 |
1184989436 | Samuel Theodore Lee | Pediatrics | 4401 Wornall Rd Ste 2708, Kansas City, MO 64111-3220 | 2012-07-11 |
1356604722 | Samuel Yeh-chang Lee | Specialist/Technologist | 2429 Pali Hwy, Honolulu, HI 96817-1452 | 2012-06-20 |
1447445192 | Samuel Sung-jae Lee | Dentist | 511 Calle Malaguena, San Clemente, CA 92672-2357 | 2007-09-06 |
1508069931 | Samuel Lee | Counselor | 952 Echo Ln Ste 335, Houston, TX 77024-2792 | 2007-06-05 |
1851418255 | Samuel Soonho Lee | Dentist | 6727 Flanders Dr Ste 220, San Diego, CA 92121-2926 | 2007-03-23 |
1053323220 | Samuel Lee | Pharmacist | 4150 Clement St # 119, San Francisco, CA 94121-1545 | 2006-08-13 |
Street Address |
7901 LAKE MANASSAS DR |
City | GAINESVILLE |
State | VA |
Zip Code | 20155-3257 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316923014 | Sanjeev Aggarwal | Radiology | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2005-12-15 |
1124644232 | Helina Williams | Registered Nurse | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2020-06-24 |
1598251316 | Annemarie Spletzer Armijos | Nurse Practitioner | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2018-07-04 |
1275798878 | Sally Strube | Nurse Practitioner | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2008-07-23 |
1184819088 | Lisa C Morere | Nurse Practitioner | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2007-09-13 |
1588611040 | Moira W Sutton | Radiology | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2006-05-30 |
1508835067 | Jey A Maran | Internal Medicine | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2006-03-16 |
1336117977 | Daniel Katcher | Internal Medicine | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2006-03-09 |
1730157371 | Robert Marsh | Internal Medicine | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2006-03-09 |
1003884081 | Alisan G Kula | Internal Medicine | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2006-03-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
Find all providers in zip 20155 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548375660 | Padma C Nadella | Internal Medicine | 1240 Jesse Jewell Parkway, Suite 600, Gainesville, GA 30501-3862 | 2006-08-20 |
1205865557 | David Fredric Pawliger | Internal Medicine | 6501 Nw 16th Pl, Gainesville, FL 32605-4107 | 2006-06-30 |
1164474235 | Gainesville Hematology Oncology Associates | Internal Medicine | 1147 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-05-17 |
1508851577 | Manuel L. De La Puerta | Internal Medicine | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2005-09-15 |
1013307362 | Maria Joy Flick | Internal Medicine | 13301 Gateway Center Dr, Gainesville, VA 20155-2984 | 2015-01-26 |
1003043704 | Sarunas Sliesoraitis | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2009-06-19 |
1407032097 | Amy Lucas Nance | Internal Medicine | 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 | 2008-01-14 |
1104025154 | Christina A Saurel | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2007-07-11 |
1528276086 | Charles E. Riggs Jr. | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-05-18 |
1326260837 | Vijay M Patel | Internal Medicine | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2007-05-03 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 20155 |
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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.