Jane J Park (NPI# 1790129898, PAC ID# 5799044293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790129898 |
| PAC ID by PECOS | 5799044293 |
| Professional Enrollment ID | I20190326002202 |
| Full Name | Jane J Park |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Address |
13279 N Cleveland Ave North Fort Myers FL 33903-4818 |
| Phone Number | 2396524111 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL 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 |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2396524111 | 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 |
| 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 |
| James K Belcher | Family Medicine | Lee Memorial Health System | 3511 Martin Luther King Blvd, Fort Myers, FL 33916-4651 |
| Street Address |
13279 N CLEVELAND AVE |
| City | NORTH FORT MYERS |
| State | FL |
| Zip | 33903-4818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Frantz | Nurse Practitioner | Lee Memorial Health System | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 |
| German E Lafaurie | Family Practice | Lee Memorial Health System | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah D Brienen | Optometry | Eye Centers of Florida | 17966 N Tamiami Trl, Unit 160, North Fort Myers, FL 33903-1414 |
| Lorena Gutierrez | Nurse Practitioner | Millennium Physician Group LLC | 16251 N Cleveland Ave, Suite 12, North Fort Myers, FL 33903-2176 |
| Bradley Albert Habuda | Podiatry | Irbf Inc | 16251 N Cleveland Ave, Suite 7, North Fort Myers, FL 33903-2176 |
| Elena C Aleman | Nurse Practitioner | Millennium Physician Group LLC | 16251 N Cleveland Ave, Suite 12, North Fort Myers, FL 33903-2176 |
| Joseph Francis Campbell | Podiatry | Irbf Inc | 16251 N Cleveland Ave, Suite 7, North Fort Myers, FL 33903-2176 |
| Francisco Marasigan | Internal Medicine | Millennium Physician Group LLC | 16251 N Cleveland Ave, Suite 12, North Fort Myers, FL 33903-2176 |
| Craig P Gindele | Chiropractic | 8190 Littleton Rd, Suite 103, N Ft Myers, FL 33903-2228 | |
| Kianoosh Kaveh | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Rohit L Pankhaniya | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Nandheesha Hanumanthappa | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Find all physicians in zip 33903 | |||
| City | NORTH FORT MYERS |
| Zip Code | 33903 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH FORT MYERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jane J Park.
| 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.