Thomas Lee (NPI# 1568652261, PAC ID# 0749445591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1568652261 |
| PAC ID by PECOS | 0749445591 |
| Professional Enrollment ID | I20130730000510 |
| Full Name | Thomas Lee |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK PC |
| Address |
260 Township Blvd Suite 20 Camillus NY 13031-1678 |
| Phone Number | 3157080091 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375512213 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 | 3157080091 | ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK PC |
| 4939 Brittonfield Pkwy, Suite 209, East Syracuse, NY 13057-9208 | 3152180085 | ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK PC |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Koh | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Scott Edison | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Rayees Nizam | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| John H Sun | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Kathryn D Alder | Nurse Practitioner | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Lisa A Hawthorne | Nurse Practitioner | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Margaret M Bailey | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Kelly M North | Physician Assistant | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Michael Kelleher | Pathology | Associated Gastroenterologists of Central New York PC | 4939 Brittonfield Pkwy, Suite 209, East Syracuse, NY 13057-9208 |
| Christine M Granato | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Street Address |
260 TOWNSHIP BLVD SUITE 20 |
| City | CAMILLUS |
| State | NY |
| Zip | 13031-1678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Koh | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Scott Edison | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Rayees Nizam | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| John H Sun | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Kathryn D Alder | Nurse Practitioner | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Lisa A Hawthorne | Nurse Practitioner | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Christopher P Parisi | Certified Registered Nurse Anesthetist (crna) | Agcny Physicians Pllc | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Margaret M Bailey | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Kelly M North | Physician Assistant | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Christine M Granato | Gastroenterology | Associated Gastroenterologists of Central New York PC | 260 Township Blvd, Suite 20, Camillus, NY 13031-1678 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Rivizzigno | Physical Therapy | 4050 Milton Ave, Camillus, NY 13031-1217 | |
| Jessica K. Lockwood | Physician Assistant | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Michael J Parker | Otolaryngology | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Nicole M Anzalone | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| John F Eppolito | Family Medicine | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Kimberly L Olrich | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Lori A Woods | Nurse Practitioner | Familycare Medical Group PC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Erin M Bagley | Qualified Audiologist | Preferred Audiology Care, LLC | 5639 W Genesee St, Camillus, NY 13031-1250 |
| Samuel B Rameas | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Howard M Wolhandler | Podiatry | Samuel B Rameas Dpm PC | 5705 W Genesee St, Camillus, NY 13031-1274 |
| Find all physicians in zip 13031 | |||
| City | CAMILLUS |
| Zip Code | 13031 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CAMILLUS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Thomas Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.