Active NPI
Myong Hwa Lee, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 558053-1
- Practice address
- 301 Prospect Ave
Anesthesia Group of Oonondaga PC
Syracuse, NY 13203-1807 - Phone
- (315) 448-5440
- Fax
- (315) 472-5010
- NPI assigned
- Oct 16, 2012
- Last updated
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 558053-1 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Anesthesia Group of Oonondaga PC
Syracuse, NY 13203-1807
Mailing address
301 Prospect Avenue
Anesthesia Group of Oonondaga PC
Syracuse, NY 13203
Phone (315) 448-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5910
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558053-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Anesthesia Solutions, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tip Top Anesthesia Group Inc | Current | Accepting new patients | |
| Axiom Anesthesia a Professional Nursing Corporation | Current | Accepting new patients | |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients |
Locations
1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025
50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896
1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
2811 Wilshire Blvd
Ste 690
Santa Monica, CA 90403
Phone (310) 828-7239
1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1407596901
Nurse Anesthetist, Certified Registered
-
- Licensed Practical Nurse
- Beverly Hills, CA
- NPI 1508283698
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1760150155
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1790718591
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1740533660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PROSPECT AVENUE",
"address_2": "ANESTHESIA GROUP OF OONONDAGA PC",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-448-5440",
"fax_number": "315-472-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"address_2": "ANESTHESIA GROUP OF OONONDAGA PC",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-5440",
"fax_number": "315-472-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MYONG",
"middle_name": "HWA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "558053-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.