DR. JENNIFER G. LEE (NPI# 1760864664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760864664 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER G. LEE |
| Credential | M.D. |
| Practice Address |
640 Ulukahiki St Kailua HI 96734-4454 |
| Mailing Address |
407 Uluniu St Ste 411 Kailua HI 96734-2544 |
| Practice Telephone | 8082635164 |
| Mailing Telephone | 8082613326 |
| Mailing Fax Number | 8082613092 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD-20296 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W Carson St, Torrance, CA 905022004 | 3102223501 | 3107821763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713526 | Jennifer Lee | Massage Therapist | 11707 N Wall St, Spokane, WA 99218-2844 | 2020-09-02 |
| 1215557863 | Jennifer Lee | Student in an Organized Health Care Education/Training Program | 1175 Grand Concourse Dept Of, Bronx, NY 10452-8549 | 2020-04-23 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1366093916 | Jennifer Carrie Lee | Massage Therapist | 5135 Se 41st Ave, Portland, OR 97202-4234 | 2019-09-25 |
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1205323847 | Jennifer Amy Lee | Occupational Therapist | 2429 22nd Ave, San Francisco, CA 94116-2436 | 2018-04-19 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1689107526 | Jennifer Lee | Psychiatry & Neurology | 401 Parnassus Avenue, Box-0984, San Francisco, CA 94143-0984 | 2017-04-07 |
| 1073065058 | Jennifer Lee | Dental Hygienist | 8832 Dakota Ave, Garden Grove, CA 92844-2016 | 2016-10-26 |
| 1841644879 | Jennifer Lee | Occupational Therapy Assistant | 10995 Sunshine Dr, Chardon, OH 44024-9637 | 2016-04-15 |
| Street Address |
640 ULUKAHIKI ST |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1679190920 | Erica Shea Adcock | Nurse Practitioner | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2020-07-02 |
| 1275047458 | Regina Garrievna Campanelli | Registered Nurse | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2017-11-26 |
| 1154780013 | Valerie A Cacho Md Inc | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2016-02-19 |
| 1417339326 | Victor W. Galson | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-06-26 |
| 1275922114 | Nicole A Kerr | Dietitian, Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-01-15 |
| 1447666821 | Wilson Internal Medicine, LLC | Internal Medicine | 640 Ulukahiki St, Suite 103, Kailua, HI 96734-4454 | 2014-07-07 |
| 1528472776 | Bennett O. Lee | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734 | 2014-06-16 |
| 1275970915 | Critical Care Hawaii LLC | Anesthesiology | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2013-06-03 |
| 1932460300 | Hawaii Intensive Care LLC | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2012-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808778 | Frederick Martin Burkle Jr. | Emergency Medicine | 452 Iana St, Kailua, HI 96734-3404 | 2017-12-30 |
| 1437468592 | Kyle Coker | Emergency Medicine | 407 Uluniu St # 411, Kailua, HI 96734-2519 | 2010-10-06 |
| 1285877787 | Shauna Sunita Conry | Emergency Medicine | 1308 Akumu St, Kailua, HI 96734-4152 | 2009-04-13 |
| 1639334337 | Scott R Sanderson | Emergency Medicine | 349 Auwinala Rd, Kailua, HI 96734-3434 | 2008-07-22 |
| 1558533281 | Brent Yamashiro | Emergency Medicine | 407 Uluniu Street #411, Kailua, HI 96734 | 2008-04-02 |
| 1639340417 | Samantha Streater Bamber | Emergency Medicine | 407 Uluniu St Fl 4, Kailua, HI 96734-2544 | 2008-03-19 |
| 1194865097 | Stephen Paul Graner Sr. | Emergency Medicine | 51 Kai One Pl, Kailua, HI 96734-2102 | 2007-02-08 |
| 1295875680 | Kenneth J Filbeck | Emergency Medicine | 354 Uluniu St Ste 404, Kailua, HI 96734-2534 | 2007-02-07 |
| 1417066747 | Philip W Chung | Emergency Medicine | 407 Uluniu Street, 4th Floor, Kailua, HI 96734-2544 | 2006-08-30 |
| 1104939362 | Steven Mates | Emergency Medicine | 407 Uluniu St Ste 411, Kailua, HI 96734-2544 | 2006-08-15 |
| Find all providers in KAILUA | ||||
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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.