Kiwhoon Lee (NPI# 1568604916, PAC ID# 6305085978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1568604916 |
| PAC ID by PECOS | 6305085978 |
| Professional Enrollment ID | I20130612000452 |
| Full Name | Kiwhoon Lee |
| Organization Legal Name | QUINT CITIES RADIATION ONCOLOGY, LTD |
| Address |
1401 W Central Park Ave Davenport IA 52804-1707 |
| Phone Number | 5634211900 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 4688566003 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 1401 W Central Park Ave, Davenport, IA 52804-1707 | 5634211900 | QUINT CITIES RADIATION ONCOLOGY, LTD |
| 500 John Deer Rd, Moline, IL 61265-6892 | 3097795090 | QUINT CITIES RADIATION ONCOLOGY, LTD |
| Organization Legal Name | QUINT CITIES RADIATION ONCOLOGY, LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Marie Sharis | Radiation Oncology | Quint Cities Radiation Oncology, Ltd | 500 John Deer Rd, Moline, IL 61265-6892 |
| Antonio Vigliotti | Radiation Oncology | Quint Cities Radiation Oncology, Ltd | 500 John Deer Rd, Moline, IL 61265-6892 |
| Thomas J Stoffel | Radiation Oncology | Quint Cities Radiation Oncology, Ltd | 500 John Deer Rd, Moline, IL 61265-6892 |
| Street Address |
1401 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip | 52804-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon R Johnson | Otolaryngology | 1401 W Central Park Ave, Genesis Medical Center West Campus, Davenport, IA 52804-1707 | |
| Stephen M Thompson | Family Medicine | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Rebecca A Wiese | Hospitalist | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Vinay V Satti | Internal Medicine | Genesis Health System | 1401 W Central Park Ave, Davenport, IA 52804-1707 |
| Arthur B Searle | Physical Medicine and Rehabilitation | 1401 W Central Park Ave, Davenport, IA 52804-1707 | |
| Stephen C Rasmus | Sleep Medicine | Stephen C Rasmus Md PC | 1401 W Central Park Ave, Davenport, IA 52804-1523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babuji R Gandra | Psychiatry | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| James R Bolton | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Carol A Chukwuka | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Chris M Pries | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| William M Nissen | Psychiatry | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Ann M Maxwell | Nurse Practitioner | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| Susan L Armstrong | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Henry F Emerle | Psychiatry | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Laura M Hill | Clinical Social Worker | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Anne C Gentil Archer | Nurse Practitioner | Vera French Community Mental Health | 1441 W Central Park Ave, Davenport, IA 52804-1707 |
| Find all physicians in zip 52804 | |||
| City | DAVENPORT |
| Zip Code | 52804 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | DAVENPORT + RADIATION ONCOLOGY |
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| 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.