DR. GRAHAM K LEE (NPI# 1821012253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821012253 |
Entity Type | Individual |
Full Name | DR. GRAHAM K LEE |
Credential | MD |
Practice Address |
4801 W 110th St Ste 100 Overland Park KS 66211-1347 |
Practice Telephone | 8162763493 |
Practice Fax Number | 9134910411 |
Mailing Telephone | 8162763493 |
Mailing Fax Number | 9134910411 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2010-12-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
100536 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A | 1528169752 | 01 |
BCBS KANSAS CITY | 18395094 | 01 | |
MO | 203728126 | 05 | |
MO | RAILROAD MEDICARE | 300091992 | 01 |
MO | RAILROAD MEDICARE | 300095390 | 01 |
MO | RAILROAD MEDICARE | 30095390 | 01 |
KS | 100154500C | 05 |
Street Address |
4801 W 110TH ST STE 100 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66211-1347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
Find all providers in zip 66211 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346783008 | Saint Luke's Neighborhood Clinics, LLC | Radiology | 4061 Indian Creek Pkwy Ste 110, Overland Park, KS 66207-4030 | 2016-11-29 |
1528216090 | Jeffrey Tsai | Radiology | 6800 W. 138th Terrace, Apt 911, Overland Park, KS 66223-7816 | 2008-09-08 |
1992926406 | Christopher Mckinney | Radiology | 6650 W 110th St Ste 100, Overland Park, KS 66211 | 2007-05-01 |
1962543512 | Shawnee Mission Open Mri, LLC | Radiology | 8877 W 75th St, Overland Park, KS 66204-2206 | 2007-02-08 |
1720135114 | Johnson County Imaging Center, Inc | Radiology | 11717 W 112th St, Overland Park, KS 66210-2761 | 2007-01-05 |
1922012574 | Thomas P Sweeney | Radiology | 4801 W 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-28 |
1467466029 | Jay I Rozen | Radiology | 4801 West 100th Street, Suite 100, Overland Park, KS 66211 | 2006-07-28 |
1619994381 | Donald R Germann | Radiology | 4801 West 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-17 |
1992768683 | Regional Imaging, LLC | Radiology | 8000 College Blvd, Overland Park, KS 66210-1822 | 2006-04-11 |
1720059991 | Ralph Warren Richardson | Radiology | 8000 W 110th St Ste 150, Overland Park, KS 66210-2382 | 2006-01-27 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66211 |
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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.