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Active NPI 1861479891 Individual Practitioner Male Practitioner

Dr. Eui-Dong Lee , MD

Surgery • Paw Paw, MI

Professional Overview & Biography Verified Profile Summary

Dr. Eui-Dong Lee, MD is a registered healthcare professional specializing in Surgery in Paw Paw, MI. Practice services are available at 404 HAZEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 Hazen St
Suite 101

Paw Paw, MI 490791040

Telephone 2696574407
Fax 2696570965
Associated Practice Facility / Clinic
🏢 Skinner & Hang Inc Facility NPI 1376554881

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Paw Paw, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Paw Paw, MI (1479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301032196

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1861479891 (MI)
Medicaid State Provider ID
104994926 (MI)
Commercial Insurance / Payer ID Bcbsm
700H060020 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134188170

Doctor of Medicine (M.D.)

NPI 1477762441

Doctor of Medicine (M.D.)

NPI 1629045711

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2009

Registered at 404 HAZEN ST, SUITE 101, PAW PAW, MI 490791040 (Tel: 2696574407)

📍
Updated Business Mailing Address September 16, 2009

Registered at 601 JOHN ST, BOX 42, KALAMAZOO, MI 490075341 (Tel: 2693417806)

👤
Provider Name / Credentials Updated September 16, 2009

Recorded as EUI-DONG LEE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2009

Surgery (License #4301032196 in MI)

🟢
Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861479891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: September 16, 2009
Sole Proprietor: No

Mailing Address

601 John St, Box 42

Kalamazoo, MI 490075341

Phone: 2693417806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.