Jacqueline Iris Lee (NPI# 1619137809, PAC ID# 6204149255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1619137809 |
| PAC ID by PECOS | 6204149255 |
| Professional Enrollment ID | I20170706003217 |
| Full Name | Jacqueline Iris Lee |
| Organization Legal Name | SURGICAL ASSOCIATES INC |
| Address |
642 Ulukahiki St Suite 207 Kailua HI 96734-4439 |
| Phone Number | 8082619931 |
| Gender | F |
| Medical School | STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8820053135 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120006 | ADVENTIST HEALTH CASTLE |
| 120001 | THE QUEENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 550 S Beretania St, Suite 403, Honolulu, HI 96813-2496 | 8085235033 | SURGICAL ASSOCIATES INC |
| 642 Ulukahiki St, Suite 207, Kailua, HI 96734-4439 | 8082619931 | SURGICAL ASSOCIATES INC |
| Organization Legal Name | SURGICAL ASSOCIATES INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Rose Domingo | General Surgery | Surgical Associates Inc | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Brandon D Varnell | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Evan Kenneth Fitz | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Linda Lou Wong | General Surgery | Surgical Associates Inc | 550 S Beretania St, Suite 509, Honolulu, HI 96813-2496 |
| Mark R Meese | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| William C Sutterfield | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Christopher L Cole | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Laura E Starrh | Nurse Practitioner | Surgical Associates Inc | 1700 Coffee Rd, Modesto, CA 95355-2803 |
| Ronald E Jackson | General Surgery | Surgical Associates Inc | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4230 |
| Alan Hoi Sing Cheung | General Surgery | Surgical Associates Inc | 550 S Beretania St, Suite 403, Honolulu, HI 96813-2496 |
| Street Address |
642 ULUKAHIKI ST SUITE 207 |
| City | KAILUA |
| State | HI |
| Zip | 96734-4439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Kaminskas | Neurology | Hawaii Pacific Neuroscience LLC | 642 Ulukahiki St, Suite 300, Kailua, HI 96734-4439 |
| Jamil S Sulieman | Internal Medicine | 642 Ulukahiki St, Suite 303, Kailua, HI 96734-4439 | |
| Emmakate B Friedlander | Obstetrics/gynecology | Pali Womens Health Center Inc | 642 Ulukahiki St, Suite 305, Kailua, HI 96734-4439 |
| Anela M Tamashiro | Nurse Practitioner | Castle Medical Center | 642 Ulukahiki St, Suite 105, Kailua, HI 96734-4418 |
| Jason Charles Viereck | Neurology | Hawaii Pacific Neuroscience LLC | 642 Ulukahiki St, Suite 300, Kailua, HI 96734-4439 |
| Henry W Louie | Cardiac Surgery | 642 Ulukahiki St, Suite 211, Kailua, HI 96734-4439 | |
| Jamalah Munir | Cardiovascular Disease (cardiology) | Castle Medical Center | 642 Ulukahiki St, Suite 103, Kailua, HI 96734-4418 |
| Susan H Hiraoka | Podiatry | 642 Ulukahiki St, Suite 207, Kailua, HI 96734-4439 | |
| Naoky C S Tsai | Gastroenterology | 642 Ulukahiki St, Suite 103, Kailua, HI 96734-4418 | |
| John J Garvie | Gastroenterology | James Panetta, Do, Pllc | 642 Ulukahiki St, Suite 302, Kailua, HI 96734-4439 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Douglas Smith | Psychiatry | 229 Aiokoa St, Kailua, HI 96734-1668 | |
| Raymond I Fodor | Otolaryngology | 970 N Kalaheo Ave, Suite A323, Kailua, HI 96734-1839 | |
| James L Spira | Psychologist, Clinical | 970 N Kalahheo Ave Rm, A314, Kailua, HI 96734-1870 | |
| Philip R Foti | Internal Medicine | 970 N Kalaheo Ave, Suite A307, Kailua, HI 96734-1870 | |
| Rita J Shuford | Clinical Psychologist | Turning Corners Group LLC | 970 N Kalaheo Ave, Kailua, HI 96734-1870 |
| Glenn T Bessinger | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Sarah M Howell | Dermatology | Hawaii Dermatology Centers, Inc | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 |
| Eun K Strawser | Osteopathic Manipulative Medicine | 970 N Kalaheo Ave, Suite C109, Kailua, HI 96734-1871 | |
| Thomas G Crabtree | Plastic and Reconstructive Surgery | 970 N Kalaheo Ave, Suite C108, Kailua, HI 96734-1871 | |
| Alan R Spector | Clinical Social Worker | 970 N Kalaheo Ave, Suite C208, Kailua, HI 96734-1872 | |
| Find all physicians in zip 96734 | |||
| City | KAILUA |
| Zip Code | 96734 |
| Specialty | GENERAL SURGERY |
| City + Specialty | KAILUA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jacqueline Iris 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.