Lee Jung Carder, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

30599 Issued in TN

Practice address

1940 Alcoa Hwy
E40
Knoxville, TN 37920-2244

Phone

(865) 305-5510

Fax

(865) 305-5515

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment
• Hyperbaric Wound Specialists, PLLC

  • Specialist
  • Oak Ridge, TN
  • NPI 1689612640
  NPD (past)
• Radiation Medicine Specialists, P.C.

  • Radiation Oncology Physician
  • Knoxville, TN
  • NPI 1245454420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1356499032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SWEETWOOD LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321958",
            "telephone_number": "865-692-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "E40",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-305-5510",
            "fax_number": "865-305-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDER",
        "first_name": "LEE",
        "middle_name": "JUNG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "30599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3826809",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Carcello, RN
• Amanda Carden-McKinley
• Sandra D'Nice Carden, NP
• Amanda Cardenas, PT
• John R. Carder, M.D.
• Kelsie Cardio, BA
• Isabel Cardona, RBT
• Chelsi Cecilia Cardoso
• Alicia Denise Cardoza, AAS
• Dylan Cardwell, CRNA

• Radiation Oncology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Radiation Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.