LEE MEMORIAL HEALTH SYSTEM (NPI# 1669426458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669426458 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Other Organization Name | GULF COAST HOSPITAL |
| Practice Address |
13681 Doctors Way Fort Myers FL 33912-4300 |
| Mailing Address |
Po Box 150107 Cape Coral FL 33915-0107 |
| Practice Telephone | 2397685000 |
| Practice Fax Number | 2397688379 |
| Mailing Telephone | 2392426012 |
| Mailing Fax Number | 2392426088 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-01-25 |
| Authorized Official Name | MIKE GERMAN (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2392426202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000897366X | 05 | |
| FL | HUMANA | 530 | 01 |
| NY | '01632553 | 05 | |
| WELLCARE/STAYWELL | 21066 | 01 | |
| BLACK LUNG | 030371400 | 01 | |
| AETNA | 0071695 | 01 | |
| SC | 11638B | 05 | |
| OH | 0150689 | 05 | |
| FL | 010225300 | 05 |
| Other Name | Type Code |
|---|---|
| Gulf Coast Hospital | 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 |
13681 DOCTORS WAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286686 | Gary Sauer | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-05-12 |
| 1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
| 1730715400 | Harjot Kaur Gill | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-03-13 |
| 1942842026 | Gina Tracy Mitas | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-10-10 |
| 1033768304 | Sarminder Kaur | Nurse Practitioner | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-09-09 |
| 1417442393 | Elyza Guzman | Nurse Anesthetist, Certified Registered | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2018-06-24 |
| 1104335660 | Mark Thetford | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2017-09-27 |
| 1881149649 | Ryan Hire | Pharmacist | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-08-22 |
| 1508214164 | Davit Onikashvili | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-05-24 |
| 1285081315 | Mohammad Awad | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619398567 | Bryan V Lich | General Acute Care Hospital | 17080 Safety St Ste 109, Fort Myers, FL 33908-7506 | 2013-12-19 |
| 1174937130 | Sergey Kozyr | General Acute Care Hospital | 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901-5857 | 2014-06-18 |
| 1710265889 | Dana Caserto | General Acute Care Hospital | 16131 Roserush Ct, Fort Myers, FL 33908-3634 | 2011-07-24 |
| 1285745430 | Southwest Florida Regional Medical Center, Inc. | General Acute Care Hospital | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2006-08-31 |
| 1982658407 | Lee Memorial Health System | General Acute Care Hospital | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.