Robert Kupsaw (NPI# 1316004484, PAC ID# 7911801105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1316004484 |
| PAC ID by PECOS | 7911801105 |
| Professional Enrollment ID | I20031120000279 |
| Full Name | Robert Kupsaw |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Address |
13778 Plantation Rd Fort Myers FL 33912-4301 |
| Phone Number | 2393430454 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| 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 |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 100220 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 13778 Plantation Rd, Fort Myers, FL 33912-4301 | 2393430454 | 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 |
13778 PLANTATION RD |
| City | FORT MYERS |
| State | FL |
| Zip | 33912-4301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Allan Kokal | General Surgery | Lee Memorial Health System | 13778 Plantation Rd, Fort Myers, FL 33912-4301 |
| Lisa Chow | Internal Medicine | Lee Memorial Health System | 13778 Plantation Rd, Fort Myers, FL 33912-4301 |
| Sandra Jean Craig | Nurse Practitioner | Lee Memorial Health System | 13778 Plantation Rd, Fort Myers, FL 33912-4301 |
| Jeremy Tamir | Plastic and Reconstructive Surgery | Lee Memorial Health System | 13778 Plantation Rd, Fort Myers, FL 33912-4301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish G Sharma | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Joseph P Walker | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Nadia Ameena Kazim | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Glenn L Wing | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Christine Lynn Hoch | Chiropractic | 8971 Daniels Ctr Dr, Unit 304, Fort Myers, FL 33912-0310 | |
| Petra D Debolt | Nurse Practitioner | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| William Phifer | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Arlette Martell Muniz | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Zunia Garcia Padron | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Barbara J Ossorio | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Find all physicians in zip 33912 | |||
| City | FORT MYERS |
| Zip Code | 33912 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT MYERS + EMERGENCY MEDICINE |
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| 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.