LEE MEMORIAL HEALTH SYSTEM (NPI# 1538607031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538607031 |
Entity Type | Organization |
Organization Name | LEE MEMORIAL HEALTH SYSTEM |
Other Organization Name | LCH OB/GYN BR |
Practice Address |
16271 Bass Rd Fort Myers FL 33908-3616 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393437100 |
Practice Fax Number | 2393437190 |
Mailing Telephone | 2394241400 |
Mailing Fax Number | 2394241421 |
Enumeration Date | 2017-02-03 |
Last Update Date | 2019-10-08 |
Authorized Official Name | BENJAMIN SPENCE (CFO) |
Authorized Official Telephone | 2393436014 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LCH OB/GYN BR | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
1114409141 | Lee Memorial Health System | Skilled Nursing Facility | 13960 Plantation Rd, Fort Myers, FL 33912-4303 | 2018-09-06 |
1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
1801196266 | Lee Memorial Health System | Pharmacy | 11220 Metro Pkwy Ste 31, Fort Myers, FL 33966-1291 | 2010-11-01 |
1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION | 16451 Healthpark Commons Dr # 2, Fort Myers, FL 33908-9501 |
System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION, INC. | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
Street Address |
16271 BASS RD |
City | FORT MYERS |
State | FL |
Zip Code | 33908-3616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588213391 | Kaitlyn Kerr | Advanced Practice Midwife | 16271 Bass Rd, Fort Myers, FL 33908-3616 | 2019-09-05 |
1134512957 | Joyce Keim | Nurse Practitioner | 16271 Bass Rd, Fort Myers, FL 33908-3616 | 2015-03-18 |
1508291279 | Mohammed Z Islam | Family Medicine | 16271 Bass Rd, Fort Myers, FL 33908 | 2013-09-12 |
1144579392 | Peter El Masry | Obstetrics & Gynecology | 16271 Bass Rd, Fort Myers, FL 33908 | 2012-09-04 |
1952665168 | Ravi Chokshi | Internal Medicine | 16271 Bass Rd, Fort Myers, FL 33908 | 2012-07-02 |
1265712160 | Jonathan Brisson | Internal Medicine | 16271 Bass Rd, Fort Myers, FL 33908 | 2011-08-23 |
1861770042 | Shawn Steiner | Nurse Practitioner | 16271 Bass Rd, Fort Myers, FL 33908 | 2011-07-22 |
1447436134 | Tammy L Luettich | Advanced Practice Midwife | 16271 Bass Rd, Fort Myers, FL 33908-3616 | 2008-01-14 |
1710169743 | Jason Steven Cesario | Obstetrics & Gynecology | 16271 Bass Rd, Fort Myers, FL 33908 | 2007-11-30 |
1437358108 | Susana T. Segura | Internal Medicine | 16271 Bass Rd, Fort Myers, FL 33908-3616 | 2007-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
Find all providers in zip 33908 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356853154 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 1926 Victoria Ave, Fort Myers, FL 33901-3414 | 2017-11-02 |
1891010393 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 13195 Metro Parkway, Suites 6-9, Fort Myers, FL 33966-0000 | 2010-03-29 |
1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
1013559343 | Lee Memorial Health System | Clinic/Center | 4751 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2019-10-08 |
1881131423 | Lee Memorial Health System | Clinic/Center | 4040 Palm Beach Blvd, Suite F, Fort Myers, FL 33916-3470 | 2017-01-20 |
1871946368 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2016-07-20 |
1891142238 | Lee Memorial Health System | Clinic/Center | 3511 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4651 | 2016-05-16 |
1366748402 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 3600 Broadway, Suite A, Fort Myers, FL 33901-8002 | 2011-02-08 |
1669634903 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 4040 Palm Beach Blvd, Fort Myers, FL 33916-3470 | 2008-06-27 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33908 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.