JI WON LEE (NPI# 1871052407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871052407 |
Entity Type | Individual |
Full Name | JI WON LEE |
Credential | D.O. |
Practice Address |
501 Howard Avenue Altoona Family Physicians Suite F2 Altoona PA 16601 |
Mailing Address |
3600 Fobes Avenue Forbes Tower - Plaza Level Suite 140 Pittsburgh PA 15213 |
Practice Telephone | 8148892020 |
Enumeration Date | 2019-03-13 |
Last Update Date | 2019-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932651882 | Ji Won Lee | Pharmacist | 5712 255th St, 2nd Fl., Little Neck, NY 11362-2137 | 2016-10-26 |
1942824271 | Ji Won Lee | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-06-02 |
1194080473 | Ji Won Lee | Nurse Practitioner | 3333 N Calvert St Ste 400, Baltimore, MD 21218-6501 | 2012-07-12 |
Street Address |
501 HOWARD AVENUE ALTOONA FAMILY PHYSICIANS SUITE F2 |
City | ALTOONA |
State | PA |
Zip Code | 16601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
1508108150 | Sarah A Holland | Counselor | 500 E Chestnut Avenue, Altoona, PA 16601 | 2013-03-21 |
Find all providers in zip 16601 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
1841897022 | Amy Ondriezek | Student in an Organized Health Care Education/Training Program | 3010 7th Ave, Altoona, PA 16602-1906 | 2020-10-01 |
1023630480 | Alexander Elli Nuique Jr. | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-05-08 |
1457972168 | Erin Marie Connolly | Student in an Organized Health Care Education/Training Program | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2020-05-04 |
1538788963 | Eric Gregory Hexem | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2020-04-15 |
1134748478 | Anna K Bistline | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2020-04-15 |
Find all providers in ALTOONA |
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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.