Tyler C Ensley (NPI# 1124223581, PAC ID# 0345522421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1124223581 |
| PAC ID by PECOS | 0345522421 |
| Professional Enrollment ID | I20190829000519 |
| Full Name | Tyler C Ensley |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Address |
636 Del Prado Blvd S Cape Coral FL 33990-2668 |
| Phone Number | 2394243513 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8729996608 |
| Number of Group Practice Members | 649 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | 2394243513 | LEE MEMORIAL HEALTH SYSTEM |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Physicians | 712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lucia Fernanda Reyes | Family Medicine | Lee Memorial Health System | 8960 Colonial Ctr Dr, Suite 300, Fort Myers, FL 33905-7810 |
| Patricia Carolina Subnaik | Pediatric Medicine | Lee Memorial Health System | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 |
| Samantha Head | Nurse Practitioner | Lee Memorial Health System | 5216 Clayton Ct, Fort Myers, FL 33907-2116 |
| Andrea Ossi Perkins | Nurse Practitioner | Lee Memorial Health System | 9131 College Pointe Ct, Fort Myers, FL 33919-3245 |
| Jane J Park | Internal Medicine | Lee Memorial Health System | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 |
| Robert David Glassman | Cardiovascular Disease (cardiology) | Lee Memorial Health System | 16261 Bass Rd, Suite 300, Fort Myers, FL 33908-3671 |
| Justin Burkholder | Emergency Medicine | Lee Memorial Health System | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Kristin A Gustin | Nurse Practitioner | Lee Memorial Health System | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 |
| Thomas Andrew Cappadona | Physician Assistant | Lee Memorial Health System | 1569 Matthew Dr, Fort Myers, FL 33907-1734 |
| Street Address |
636 DEL PRADO BLVD S |
| City | CAPE CORAL |
| State | FL |
| Zip | 33990-2668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Burkholder | Emergency Medicine | Lee Memorial Health System | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Alejandro Victoria | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Brian John Jackson | Physician Assistant | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Bobak R Rahmanian | Emergency Medicine | Cape Coral Emergency Physicians LLC | 636 Del Prado Blvd S, Emergency Dept, Cape Coral, FL 33990-2668 |
| Anyeri K Peguero | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Robert E Weir | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Ruben Perez-casas | Family Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Francisco J Quiles-cruz | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Shikha Shrestha | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Evan Kamperman | Internal Medicine | Cape Coral Hospitalists Inc | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois M Harriman | Nurse Practitioner | Saluscare, Inc | 1105 Cultural Park Blvd, Cape Coral, FL 33990-1217 |
| Sarajane Johnson | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Nicola Mckellop | Nurse Practitioner | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Kimberly A Burgess | Physician Assistant | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Carole Mclane | General Practice | Housecalls Md Swfl, LLC | 509 Se 17th Ave, Cape Coral, FL 33990-1610 |
| Khoa Dang Nguyen | Podiatry | Family Foot and Leg Center Pa | 530 Se 16th Pl, Suite A, Cape Coral, FL 33990-1656 |
| Edward Frank Drass | Family Medicine | 530 Se 16th Place, Suite B, Cape Coral, FL 33990-1656 | |
| Jose F Perez | Internal Medicine | 602 Se 16th Pl, Cape Coral, FL 33990-1684 | |
| Ariel Figueredo | Obstetrics/gynecology | 602 Se16th Pl, Cape Coral, FL 33990-1684 | |
| Larry Dean Johnson | Chiropractic | 1510 Hancock Bridge Pkwy, Suite 6, Cape Coral, FL 33990-1715 | |
| Find all physicians in zip 33990 | |||
| City | CAPE CORAL |
| Zip Code | 33990 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CAPE CORAL + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Tyler C Ensley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.