FRED DOELEONG LEE (NPI# 1790767895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790767895 |
| Entity Type | Individual |
| Full Name | FRED DOELEONG LEE |
| Credential | MD |
| Practice Address |
400 Shadow Ln Suite 207 Las Vegas NV 89106-4363 |
| Mailing Address |
2251 N Rampart Blvd 338 Las Vegas NV 89128-7640 |
| Practice Telephone | 7023845400 |
| Practice Fax Number | 7023840648 |
| Mailing Telephone | 7027336263 |
| Mailing Fax Number | 7027331796 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | NV5204 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002002733 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821344185 | Fred Jackson Lee | Counselor | 1155 Brookwood Dr, Eastman, GA 31023-7536 | 2012-07-24 |
| 1073788576 | Fred C Lee | Dentist | 10111 Adams Ave, Suite 111, Huntington Beach, CA 92646 | 2008-04-25 |
| 1003038928 | Fred Matthew Lee | Dentist | 650 W Baltimore St Ste 6402, Baltimore, MD 21201-1510 | 2007-05-02 |
| 1518035807 | Fred Lee | Orthopaedic Surgery | 1608 Lemoine Ave Ste 204, Fort Lee, NJ 07024-5636 | 2006-12-02 |
| 1750460978 | Fred Earnest Lee | Pharmacist | 1531 Monument Road, Jacksonville, FL 32225 | 2006-11-06 |
| 1619972767 | Fred Thomas Lee | Psychologist | 3194 Core Rd, Parkersburg, WV 26104-1556 | 2005-06-16 |
| 1285093377 | Fred Lee | Counselor | 675 Varsity Drive, Elgin, IL 60120 | 2016-02-17 |
| 1588054498 | Fred Lee | Pharmacist | 24008 Snohomish Woodinville Rd, Woodinville, WA 98072-9743 | 2015-01-29 |
| 1275850844 | Fred S Lee | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2010-04-22 |
| 1396901187 | Fred Kieun Lee | Optometrist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2008-08-01 |
| Street Address |
400 SHADOW LN SUITE 207 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578938676 | Jerry L Jones Md Professional | Specialist | 400 Shadow Ln, Suite 103, Las Vegas, NV 89106-4363 | 2015-12-01 |
| 1124445283 | Ronny Soy | Registered Nurse | 400 Shadow Ln, Suite 106, Las Vegas, NV 89106-4363 | 2014-03-26 |
| 1386060457 | Sharon Brown Warren | Registered Nurse | 400 Shadow Ln, Las Vegas, NV 89106-4363 | 2014-03-12 |
| 1396169082 | Tanjara Bartley | Licensed Practical Nurse | 400 Shadow Ln, Suite 106, Las Vegas, NV 89106-4363 | 2014-02-14 |
| 1386067023 | Lorena Reyes De Corral | Registered Nurse | 400 Shadow Ln, Las Vegas, NV 89106-4363 | 2014-01-31 |
| 1912320177 | Latorsha Napoleon | Licensed Practical Nurse | 400 Shadow Ln, Suite 106, Las Vegas, NV 89106-4363 | 2014-01-23 |
| 1346663507 | Theresia Younes | Registered Nurse | 400 Shadow Ln, Suite # 106, Las Vegas, NV 89106-4363 | 2014-01-23 |
| 1629491980 | Ina Fincher | Registered Nurse | 400 Shadow Ln, Suite 106, Las Vegas, NV 89106-4363 | 2014-01-22 |
| 1528481884 | Ana Conroy | Registered Nurse | 400 Shadow Ln, Suite 106, Las Vegas, NV 89106-4363 | 2014-01-22 |
| 1619390986 | Linus Mubuifor | Registered Nurse | 400 Shadow Ln, 106, Las Vegas, NV 89106-4363 | 2014-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664115 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 3300 E Flamingo Rd Ste 25, Las Vegas, NV 89121-4398 | 2019-11-25 |
| 1578912515 | Heather Hyland Madden | Obstetrics & Gynecology | 3196 S Maryland Pkwy Ste 410, Las Vegas, NV 89109-2315 | 2016-06-10 |
| 1679937031 | Sarah Amarylis Roadhouse | Obstetrics & Gynecology | 9120 W Post Rd Ste 200, Las Vegas, NV 89148-2427 | 2016-04-11 |
| 1134583727 | Erica Renee Davenport | Obstetrics & Gynecology | 2880 N Tenaya Way Ste 310, Las Vegas, NV 89128-0642 | 2016-04-08 |
| 1346638491 | Kevin Tran | Obstetrics & Gynecology | 1707 W Charleston Blvd Ste 220, Las Vegas, NV 89102-2353 | 2014-12-23 |
| 1679975361 | Wellhealth Medical Group, PC | Obstetrics & Gynecology | 9260 W Sunset Rd Ste 102, Las Vegas, NV 89148-4858 | 2014-09-24 |
| 1245644475 | Javier Humberto Cajina | Obstetrics & Gynecology | 2040 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2248 | 2014-06-16 |
| 1619302684 | Leanne Almario | Obstetrics & Gynecology | 2851 N Tenaya Way Ste 208, Las Vegas, NV 89128-0453 | 2013-09-10 |
| 1316389455 | James Kenneth Hedges | Obstetrics & Gynecology | 805 Noahs Star St, Las Vegas, NV 89145-8609 | 2013-07-17 |
| 1477896702 | Philip Gordon Mclemore Jr. | Obstetrics & Gynecology | 6850 North Durango Drive #401, Las Vegas, NV 89149 | 2013-04-04 |
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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.