MR. BRIAN EDWARD LEE


Address: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292
Phone: 6162678860

MR. BRIAN EDWARD LEE (NPI# 1881016269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881016269
Entity Type Individual
Full Name MR. BRIAN EDWARD LEE
Credential PA-C
Practice Address 4100 Lake Dr Se Ste 300
Grand Rapids
MI 49546-8292
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162678860
Enumeration Date 2014-01-20
Last Update Date 2020-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601008637 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRIAN LEE

NPI Name Taxonomy Address Enumeration
1295296598 Brian Kisub Lee Chiropractor 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 2019-03-28
1639644859 Brian Lee Dentist 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 2018-10-04
1700360070 Brian L Lee Counselor 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 2018-09-21
1477094795 Brian P Lee Dentist 1616 Range Ct, Diamond Bar, CA 91765-4318 2017-03-20
1174065429 Brian Lee Student in an Organized Health Care Education/Training Program 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 2016-11-16
1366807992 Brian Jin Han Lee Pharmacist 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 2015-12-28
1669856894 Brian Lee Podiatrist 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 2015-07-17
1508267527 Brian Lee Dentist Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 2014-09-09
1891114377 Brian Jinho Lee Student in an Organized Health Care Education/Training Program 256 S Durham St, Baltimore, MD 21231-2605 2014-04-10
1346583242 Brian T Lee Internal Medicine 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 2013-03-29

Office Location

Street Address 4100 LAKE DR SE STE 300
City GRAND RAPIDS
State MI
Zip Code 49546-8292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366439432 Michael Lee Bills Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2005-10-04
1164064895 Lorelle Joy Vanbeek Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-10-15
1558829051 Jordan Taylor Friedrich Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-03-04
1548732381 Erin Marie Willink Nurse Practitioner 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-12-18
1003387655 Vanessa Rae Smitko Nurse Practitioner 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-12-07
1033608559 Jenade Holloway Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-05-10
1831617497 Alexandra Marquis Schumar Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-09-05
1508387093 Megan Davis Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-07-05
1356707483 Tsz Kit Kevin Chan Orthopaedic Surgery 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2016-01-05
1033503594 Jacob H Reisner Physical Medicine & Rehabilitation 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2015-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609473198 Rachel M. Graziano Physician Assistant 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 2020-10-07
1811537269 Joseph Salvatore Giovannucci Physician Assistant 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 2020-01-14
1326685686 Mitchell Lebel Physician Assistant 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 2019-12-05
1326680331 Emily Wallace Physician Assistant 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 2019-10-10
1124688197 Leeann Marie Kuehn Physician Assistant 218 Warren Ave Se, Grand Rapids, MI 49506-1582 2019-06-20
1770057549 Shelby Elizabeth Hunt Physician Assistant 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 2019-01-15
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1174029094 Katrina Ann Brummel Physician Assistant 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 2018-03-30
1902312994 Aaron Michaud Physician Assistant 301 Barclay Ave Ne, Grand Rapids, MI 49503 2017-12-28
1538687215 Sonia Nicola Physician Assistant 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 2017-09-01
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49546

Improve Information

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Dataset Information

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.

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