John Lee

Overview

John Lee is a internal medicine enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEAVER MEDICAL GROUP PC. The business address is 2 W Fern Ave, Redlands, CA 92373-5916. Published on March 11, 2014.

Enrollment Information

NPI 1477870186 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
PAC ID 8729218862 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20140311000702
Full Name JOHN LEE
Gender M
Medical School UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty INTERNAL MEDICINE
Organization Legal Name BEAVER MEDICAL GROUP PC
Group Practice PAC ID 0547164295
Number of Group Practice Members 256
Address 2 W Fern Ave
Redlands
CA 92373-5916
Telephone 9097933311
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1477870186 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
Provider Name JOHN LEE
Address 2 W Fern Ave
Redlands
CA 92373
Taxonomy Code 207R00000X
Enumeration Date 2010-04-21

Organization Information

Organization Legal Name BEAVER MEDICAL GROUP PC
Address 2 W Fern Ave
Redlands
CA 92373-5916
Telephone 9097933311
Medical School UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Gordan D Phillips Preventative MedicineBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Jin Hee Kim Internal MedicineBeaver Medical Group PC839 N Highland Springs Ave, Beaumont, CA 92223-3170
Kerry Rold Diagnostic RadiologyBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Edmund Ko UrologyBeaver Medical Group PC6109 W Ramsey St, Banning, CA 92220-3051
Kelvin Ma Family MedicineBeaver Medical Group PC1300 E Cooley Dr, Colton, CA 92324-3905
Kevin Jan Chan HospitalistBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Hung Nguyen Family MedicineBeaver Medical Group PC7223 Church St C, Highland, CA 92346-5816
Chad J Brockardt Orthopedic SurgeryBeaver Medical Group PC7000 Boulder Ave, Highland, CA 92346-3348
Charles Chen Internal MedicineBeaver Medical Group PC33758 Yucaipa Blvd, Yucaipa, CA 92399-2243
Zakia Raana Family MedicineBeaver Medical Group PC5957 W Ramsey St, Banning, CA 92220-3058
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Justin R Tomal GastroenterologyHospitalist Medicine Physicians of Idaho- Nampa PLLC4300 E Flamingo Ave, Nampa, ID 83687-3138
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Colin B Schofield Clinical Social WorkerPradeep Thapar Md Sc10745 165th St, Orland Park, IL 60467-8713
Veena Vishwanath Arun OphthalmologySharp Rees-Stealy Medical Group Inc8701 Cuyamaca St, Santee, CA 92071-4253
Linus Klingler OptometryUniversity of Miami1325 Nw 14th St, Umhc Uhealth Tower, Miami, FL 33125-1647
Erin E Reed Obstetrics/GynecologyMidwest Center for Women's Healthcare, Ltd9301 Golf Rd, Suite 101, Des Plaines, IL 60016-1600
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Location Information

Street Address 2 W FERN AVE
City REDLANDS
State CA
Zip Code 92373-5916

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Richard J Hall AnesthesiologyBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Kristen Nicole Chaves Nurse PractitionerBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Allen Alexander Duran Nurse PractitionerBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Thomas A Steinmann OptometryBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Michael J Coen Orthopedic SurgeryBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Shantharam Pai Family MedicineBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Orlando Ricci AnesthesiologyBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Lui Kong Yap Physician AssistantBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Cathryn Marie O Neill Family MedicineBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
Christina D Bennett-Stewart Obstetrics/GynecologyBeaver Medical Group PC2 W Fern Ave, Redlands, CA 92373-5916
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Roger Wenger Psychologist, ClinicalFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Monica Tone PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Jo Everett PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Donald Louis Mellor Jr. Psychologist, ClinicalFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Richelin Veluz Dye Psychologist, ClinicalFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
William H Mcghee PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
William Murdoch PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
William G Britt IIi Psychologist, ClinicalFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Pharez Dishon Rolle PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
Claudia R Carmona PsychiatryFaculty Physicians and Surgeons of Llusm1686 Barton Rd, Redlands, CA 92373-1488
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Dataset Information

This dataset includes 1.5 million individual physicians, and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction United States