Individual provider Active NPI

Cherry Lee, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1760824841
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05109 Issued in MD
Practice address
5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone
(443) 444-3904
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05109 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Baltimore, MD 21239-2945

Mailing address

5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3904

Other names 1

  • Cherry Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130808000283 MD Practitioner - Physician Assistant 4183866858 Reassigns benefits to 2 organizations
I20150702001026 DC Practitioner - Physician Assistant 4183866858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-5070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates PA CurrentSince Jun 3, 2019 Accepting new patients
Synergy Medical Group CurrentSince Aug 9, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 9, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 9, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 20, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 20, 2019 Accepting new patients
Synergy Medical Group LLC Past Accepting new patients

Locations

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

6000 Bellona Ave
Baltimore, MD 21212
Phone (410) 323-4223

5009 Frankford Ave
Baltimore, MD 21206
Phone (410) 325-4000

410 E Macphail Rd
Bel Air, MD 21014
Phone (410) 838-7810

1123 Belcamp Garth
Belcamp, MD 21017
Phone (410) 575-6400

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

1525 N Rolling Rd
Catonsville, MD 21228
Phone (410) 402-1200

3000 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-7577

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

3320 Benson Ave
Halethorpe, MD 21227
Phone (410) 644-7100

3308 Benson Ave
Halethorpe, MD 21227
Phone (667) 600-2600

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

8720 Emge Rd
Parkville, MD 21234
Phone (410) 668-1961

7 Sudbrook Ln
Pikesville, MD 21208
Phone (410) 205-8440

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

7001 N Charles St
Towson, MD 21204
Phone (410) 269-5100

111 West Rd
Towson, MD 21204
Phone (410) 828-6500

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1760824841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392945",
            "telephone_number": "443-444-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392945",
            "telephone_number": "443-444-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "WONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.