LEE MEMORIAL HEALTH SYSTEM (NPI# 1619512803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619512803 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Other Organization Name | LCH- PEDS LHCP |
| Practice Address |
23450 Via Coconut Pt Estero FL 34135-1877 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2394680150 |
| Practice Fax Number | 2393434056 |
| Mailing Telephone | 2394680150 |
| Mailing Fax Number | 2393434056 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | JOSEPH NIEBERGALL (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2394241446 |
| 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- PEDS LHCP | 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 |
23450 VIA COCONUT PT |
| City | ESTERO |
| State | FL |
| Zip Code | 34135-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822584 | Nalinbhai G Patel | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2005-06-22 |
| 1346879962 | Angela Cay Furr | Nurse Practitioner | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2020-04-06 |
| 1306314463 | Kaitlyn E Kaiser | Physician Assistant | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2018-11-07 |
| 1710493986 | Cheri Lynn Martir | Nurse Practitioner | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2017-12-23 |
| 1013447549 | Matthew A Dorman | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2017-06-18 |
| 1821466251 | Alexander Grasu | Physical Therapist | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2015-09-02 |
| 1740669613 | Jessica Castaneira | Family Medicine | 23450 Via Coconut Pt, Estero, FL 34135 | 2015-05-26 |
| 1184017782 | Martha Barzana-fernandez | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135 | 2015-03-06 |
| 1487882650 | Christopher Ryan Myer | Orthopaedic Surgery | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2009-06-26 |
| 1922210160 | Denise Drago | Pediatrics | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 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 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.