Theodore A Jackson
HANS LEE MD INC


Address: 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-1853
Phone: 3043421113

Theodore A Jackson (NPI# 1942294376, PAC ID# 1850462581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1942294376
PAC ID by PECOS 1850462581
Professional Enrollment ID I20111123000276
Full Name Theodore A Jackson
Organization Legal Name HANS LEE MD INC
Address 1306 Kanawha Blvd E
Suite 100
Charleston
WV 25301-1853
Phone Number 3043421113
Gender M
Medical School WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 7719048834
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510091 CHARLESTON SURGICAL HOSPITAL
510022 CHARLESTON AREA MEDICAL CENTER

Other Locations

Address Phone Organization
1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-1853 3043421113 HANS LEE MD INC

Organization Information

Organization Legal Name HANS LEE MD INC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Daniel J Wood Plastic and Reconstructive Surgery Hans Lee Md Inc 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-1853

Office Location

Street Address 1306 KANAWHA BLVD E
SUITE 100
City CHARLESTON
State WV
Zip 25301-1853

Physicians in the same location

Name Specialty Organization Address
James Andrew Lohan General Surgery Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Elizabeth G Shaffer Anesthesiology General Anesthesia Services Inc 1306 Kanawha Blvd E, Charleston Surgical Hospital Eye and Ear Clinic, Charleston, WV 25301-3001
Laurie J Elkins Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Jo Ann Scholl Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Terri Elanie Hull Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Mary Surbaugh-saunders Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Megan D Bailey Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Daniel J Wood Plastic and Reconstructive Surgery Hans Lee Md Inc 1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-1853
Toni J Poster Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Robin S Webb Certified Registered Nurse Anesthetist (crna) Eye and Ear Clinic of Charleston Inc 1306 Kanawha Blvd E, Charleston, WV 25301-3000
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jeffrey N Thaxton Plastic and Reconstructive Surgery 505 Capitol St, Suite 100, Charleston, WV 25301-1204
Debra K Beatty Clinical Social Worker 600 Shrewsbury St, Suite 7, Charleston, WV 25301-1231
James White Caudill Ophthalmology West Virginia Eye Consultants LLC 501 Summers St, Charleston, WV 25301-1239
Christopher A Stansbury Optometry West Virginia Eye Consultants LLC 501 Summers St, Charleston, WV 25301-1239
Caleb Timothy Cart Optometry West Virginia Eye Consultants LLC 501 Summers St, Charleston, WV 25301-1239
Jeffrey V Ashley Family Medicine West Virginia University Medical Corporation Charleston Division 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300
Brittain Mcjunkin Gastroenterology West Virginia University Medical Corporation Charleston Division 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300
Rose Mary Ayoob Pediatric Medicine West Virginia University Medical Corporation Charleston Division 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300
Jesse Clanton General Surgery West Virginia University Medical Corporation Charleston Division 501 Morris St, 3rd Floor East, Charleston, WV 25301-1300
Emily Anne Montgomery Obstetrics/gynecology West Virginia University Medical Corporation Charleston Division 501 Morris St 3rd Fl E, Wvupc Select Spec, Charleston, WV 25301-1300
Find all physicians in zip 25301

Competitor

Search similar physicians

City CHARLESTON
Zip Code 25301
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty CHARLESTON + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

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.

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