DR. RICHARD GARRETT LEE (NPI# 1770796583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770796583 |
Entity Type | Individual |
Full Name | DR. RICHARD GARRETT LEE |
Credential | MD |
Practice Address |
3446 S 15th E Idaho Falls ID 83404-8262 |
Practice Telephone | 2085226335 |
Practice Fax Number | 2085220550 |
Mailing Telephone | 2085226335 |
Mailing Fax Number | 2085220550 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2012-04-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
M-10574 | ID | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
M-10574 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1770796583 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891322525 | Richard Changmo Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road America Building 2nd Floor, Bethesda, MD 20889-0001 | 2020-03-24 |
1992353593 | Richard Won Lee | Student in an Organized Health Care Education/Training Program | 8040 A 35th Ave Ne, Seattle, WA 98115-4852 | 2019-08-28 |
1184165128 | Richard Jin Lee | Physical Therapist | 312 Weeks Ave, Manorville, NY 11949-2045 | 2017-03-09 |
1811377021 | Richard Lee | Dentist | 960 Shoppes Blvd, North Brunswick, NJ 08902-2776 | 2015-06-02 |
1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
1679841241 | Richard H. Lee | Nurse Anesthetist, Certified Registered | 423 E 23rd St Dept Of, New York, NY 10010-5011 | 2011-12-09 |
1952547242 | Richard B Lee | Registered Nurse | 21705 Whirlaway Ave, Parker, CO 80138-3059 | 2008-12-17 |
1447414396 | Richard Jung Hoon Lee | Internal Medicine | 768 Via Del Monte, Palos Verdes Estates, CA 90274-1668 | 2008-07-10 |
1821251141 | Richard John Lee | Dentist | 19465 Deerfield Ave Ste 304, Lansdowne, VA 20176-1705 | 2008-07-07 |
1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
Street Address |
3446 S 15TH E |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-8262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710985551 | Robert Jensen Lee | Orthopaedic Surgery | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2005-07-13 |
1821645870 | Benjamin J Atwood | Physician Assistant | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2019-08-23 |
1275808750 | East Idaho Ear Nose Throat - Facial Plastic Surgery Pa | Otolaryngology | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2012-03-15 |
1356500086 | Robert J. Lee, M.d., PC | Orthopaedic Surgery | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2008-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
Find all providers in zip 83404 |
Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275808750 | East Idaho Ear Nose Throat - Facial Plastic Surgery Pa | Otolaryngology | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2012-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265415913 | Jill C Beck | Otolaryngology | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2005-11-28 |
City | IDAHO FALLS |
Zip Code | 83404 |
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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.