CONNIE LEE (NPI# 1801267919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801267919 |
| Entity Type | Individual |
| Full Name | CONNIE LEE |
| Practice Address |
9396d Baltimore National Pike Ellicott City MD 21042-2802 |
| Practice Telephone | 4104809110 |
| Mailing Telephone | 4104809110 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C05908 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2415 Musgrove Rd, Suite 105, Silver Spring, MD 209045202 | 3019890193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669783 | Connie Lee | Technician | 6524 Moon Roses Ct, Las Vegas, NV 89108-1860 | 2018-02-14 |
| 1306366315 | Connie Koeun Lee | Pharmacist | 6201 Loch Raven Blvd Apt 410, Baltimore, MD 21239-2046 | 2017-06-21 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1255968103 | Connie Lee | Registered Nurse | 4321 Carothers Pkwy, Franklin, TN 37067-5909 | 2020-03-23 |
| 1841770328 | Connie Lee | Pharmacist | 711 Pier Ave, Hermosa Beach, CA 90254-3941 | 2018-08-15 |
| 1518471317 | Connie L Lee | Registered Nurse | 1370 S State St Ste B, San Jacinto, CA 92583-4922 | 2017-12-01 |
| 1386177939 | Connie Rhim Lee | Dentist | 26877 Sierra Hwy, Santa Clarita, CA 91321-2274 | 2017-04-10 |
| 1124409685 | Connie Lee | Case Manager/Care Coordinator | 611 Forest Ave, Maysville, KY 41056-1411 | 2015-06-10 |
| 1699118331 | Connie Han Lee | Pharmacist | 6412 S Parker Rd, Aurora, CO 80016-3011 | 2013-04-11 |
| 1326347543 | Connie Lee | Dentist | 305 W 12th Ave, Periodontology, Columbus, OH 43210-1267 | 2011-03-28 |
| Street Address |
9396D BALTIMORE NATIONAL PIKE |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568680213 | Allcare of Maryland, LLC | Clinic/Center | 9396d Baltimore National Pike, Ellicott City, MD 21042-2802 | 2007-04-20 |
| 1003027483 | Maria V Borodatcheva | Internal Medicine | 9396d Baltimore National Pike, Ellicott City, MD 21042-2802 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728712 | Smital Patel | Physician Assistant | 7512 Talbots Woods Ct, Ellicott City, MD 21043-6891 | 2020-07-28 |
| 1558466094 | David John Bunnell | Physician Assistant | 4610 Learned Sage, Ellicott City, MD 21042 | 2006-09-13 |
| 1225132301 | Esther Clinton | Physician Assistant | 2702 Snowmill Ct, Ellicott City, MD 21043-1921 | 2006-09-11 |
| 1710422688 | Jamie Garonzik | Physician Assistant | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-12-30 |
| 1750826269 | Robert Wade Williams | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-12-20 |
| 1053778449 | Yelizaveta Bavosa | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-01-15 |
| 1376915496 | Lisa Degroot | Physician Assistant | 3570 St Johns Lane, Frederick Crossing, Ellicott City, MD 21042-4032 | 2015-10-28 |
| 1255681631 | Eden Fernandez | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2012-09-13 |
| 1225337264 | David Bart Arconti | Physician Assistant | 4801 Dorsey Hall Dr, Suite 226, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1164663605 | Tamara Brigitte Patterson | Physician Assistant | 6021 University Blvd, Ellicott City, MD 21043-6077 | 2009-03-12 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.