MICHAEL D LEE (NPI# 1821040155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821040155 |
| Entity Type | Individual |
| Full Name | MICHAEL D LEE |
| Credential | DO |
| Practice Address |
202 Duke of Gloucester St Sw Roanoke VA 24014-1372 |
| Practice Telephone | 5403454900 |
| Practice Fax Number | 5403454179 |
| Mailing Telephone | 5403454900 |
| Mailing Fax Number | 5403454179 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0102049900 | VA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
519 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T00390 | 05 | |
| VA | 1821040155 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182172 | Michael Lee | Technician | 901 Summit St, Wheeling, WV 26003-3201 | 2020-10-19 |
| 1346848793 | Michael Lee | Physical Therapist | 360 W Ocean Blvd Apt 502, Long Beach, CA 90802-4608 | 2020-10-16 |
| 1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
| 1275025678 | Michael Lee | Registered Nurse | 27505 Tampa Ave Apt 57, Hayward, CA 94544-5111 | 2018-05-31 |
| 1952828709 | Michael Lee | Durable Medical Equipment & Medical Supplies | 4317 172nd St, Flushing, NY 11358-3320 | 2017-08-23 |
| 1811444680 | Michael Douglas Lee | Pharmacist | 1805 Sw Santa Barbara Pl, Cape Coral, FL 33991-3459 | 2016-09-08 |
| 1174902654 | Michael Lee | Dentist | 12400 E 40 Hwy, Independence, MO 64055-5929 | 2015-05-29 |
| 1669851556 | Michael Joo Lee | Student in an Organized Health Care Education/Training Program | 1077 Beacon St, Unit 11, Brookline, MA 02446-5672 | 2015-05-25 |
| 1639500325 | Michael Lee | Counselor | 32 Fordway St, Derry, NH 03038-2634 | 2013-12-05 |
| 1235572322 | Michael Anthony Lee Jr. | Pediatrics | 300 Longwood Ave Bch3066, Divison of Emergency Medicine, Boston, MA 02115-5724 | 2013-04-09 |
| Street Address |
202 DUKE OF GLOUCESTER ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437301306 | Megan Catherine Mcdonald | Physician Assistant | 202 Duke of Gloucester St Sw, Roanoke, VA 24014-1372 | 2008-10-22 |
| 1649364381 | Vishal Kaushikbhai Bhagat | Internal Medicine | 202 Duke of Gloucester St Sw, C/o Alice Seres, Roanoke, VA 24014-1372 | 2006-10-03 |
| 1114967015 | Mary Etheldreda Hanna | Anesthesiology | 202 Duke of Gloucester St Sw, Roanoke, VA 24014-1372 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1528004942 | Dennis Barry Weiserbs | Internal Medicine | 202 Duke of Glouchester Street, Roanoke, VA 24014 | 2006-06-22 |
| 1639121403 | Alan Vladimir Burnstein | Internal Medicine | 202 Duke of Glouchester St, Roanoke, VA 24014 | 2006-05-17 |
| 1154661288 | Farhad Sahebjam | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2013-02-27 |
| 1952655417 | Dario R Sorrentino | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-11-06 |
| 1104189695 | Vu Q Nguyen | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-06-19 |
| 1720378730 | Maithili Vikas Chitnavis | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2011-04-11 |
| 1609043579 | Badar Muneer | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016 | 2008-05-09 |
| 1730371196 | Manoj Kumar | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2007-08-09 |
| 1891838249 | Paul Yeaton | Internal Medicine | 3 Riverside Circle, Lee Street, 1st Floor, Roanoke, VA 24016 | 2007-02-15 |
| 1649364381 | Vishal Kaushikbhai Bhagat | Internal Medicine | 202 Duke of Gloucester St Sw, C/o Alice Seres, Roanoke, VA 24014-1372 | 2006-10-03 |
| Find all providers in ROANOKE | ||||
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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.