DR. BONNIE J LEE (NPI# 1790779106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790779106 |
| Entity Type | Individual |
| Full Name | DR. BONNIE J LEE |
| Credential | M.D. |
| Practice Address |
554 S 800 E Slc UT 84102-2931 |
| Mailing Address |
Po Box 2106 Sandy UT 84091-2106 |
| Practice Telephone | 8015574595 |
| Practice Fax Number | 8015968080 |
| Mailing Telephone | 8015574595 |
| Mailing Fax Number | 8015968080 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
1711891205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1790779106 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528564697 | Bonnie Lee | Pharmacist | 4640 Richelieu Ter, Los Angeles, CA 90032-3245 | 2018-04-05 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1003214990 | Bonnie Lee | Reflexologist | 1249 Pacific Blvd Se, Albany, OR 97321-4824 | 2014-12-09 |
| 1194072025 | Bonnie Lee | Pharmacist | 941 Southern Blvd, Bronx, NY 10459-3401 | 2012-08-09 |
| 1861641177 | Bonnie M Lee | Massage Therapist | 10460 Waters Ave S., Seattle, WA 98178 | 2008-09-10 |
| 1568639797 | Bonnie E Lee | Licensed Vocational Nurse | 10318 Almanor Cir, Stockton, CA 95219-7100 | 2008-05-15 |
| 1669644506 | Bonnie Lee | Speech-Language Pathologist | 2 Huntington Drive, Princeton Junction, NJ 08550-2122 | 2008-04-01 |
| 1619446473 | Bonnie D Lee | Counselor | 6846 S Canton Ave Ste 501, Tulsa, OK 74136-3431 | 2018-11-21 |
| 1114450756 | Bonnie Lee | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2017-04-11 |
| 1548658339 | Bonnie Lee | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2014-12-31 |
| Street Address |
554 S 800 E |
| City | SLC |
| State | UT |
| Zip Code | 84102-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981643 | Wasatch Senior and Family Care LLC | Internal Medicine | 160 W 500 N, Heber City, UT 84032-1206 | 2019-09-17 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1497221618 | Senior Health LLC | Internal Medicine | 576 W 900 S Ste 103, Woods Cross, UT 84010-8232 | 2018-10-15 |
| 1700988656 | Robert S Powel | Internal Medicine | 9350 S 150 E Ste 150, Sandy, UT 84070-2703 | 2006-09-01 |
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1245613298 | Genesis Eldercare Physicians LLC | Internal Medicine | 400 E 5350 S, Ogden, UT 84405-6931 | 2015-07-08 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
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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.