Robert Lee (NPI# 1225031925, PAC ID# 9436151701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225031925 |
| PAC ID by PECOS | 9436151701 |
| Professional Enrollment ID | I20100824001058 |
| Full Name | Robert Lee |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Address |
2102 E Inwood Rd South Bend IN 46614-2443 |
| Phone Number | 5742992400 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779577937 |
| Number of Group Practice Members | 139 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2102 E Inwood Rd, South Bend, IN 46614-2443 | 5742992400 | THE SOUTH BEND CLINIC LLP |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Cassady | Family Medicine | The South Bend Clinic LLP | 4440 Portage Ave, South Bend, IN 46628-9570 |
| Kathryn Latimer Werda | Physical Therapy | The South Bend Clinic LLP | 301 E Day Rd, Mishawaka, IN 46545-3455 |
| Kelly M Losiniecki | Nurse Practitioner | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Todd Rozycki | Dermatology | The South Bend Clinic LLP | 1802 Day Rd, Mishawaka, IN 46545-4329 |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Steven P Crowell | Internal Medicine | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Enrique E Infante | Obstetrics/gynecology | The South Bend Clinic LLP | 14950 State Rd, Suite 23, Granger, IN 46530-7564 |
| Andrey P Seluzhitskiy | Family Medicine | The South Bend Clinic LLP | 8984 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| Ralph E Inabnit | Family Medicine | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Robert Gregory Credi | General Surgery | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Street Address |
2102 E INWOOD RD |
| City | SOUTH BEND |
| State | IN |
| Zip | 46614-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie A Emmert | Nurse Practitioner | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Holly L Hake Harris | Dermatology | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Cynthia E Mayfield | Dermatology | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Jean M Bahu | Nurse Practitioner | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Laura E Albright | Family Medicine | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Wieger | Podiatry | 3506 S Michigan St, South Bend, IN 46614-1728 | |
| Julenne Henriquez-gil | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Jane E Anderson | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Elizabeth Marr | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Zachary Lusk | Physical Therapy | Advanced Physical Therapy LLC | 202 W Ireland Rd, 101a Ati Physical Therapy, South Bend, IN 46614-2516 |
| Michael R Husband | Chiropractic | 219 E Ireland Rd, South Bend, IN 46614-2653 | |
| James D Husband | Chiropractic | Chiropractic Health Center PC | 219 E Ireland Rd, South Bend, IN 46614-2653 |
| Susan M Brokaw | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 411 E Ireland Rd, Suite 400, South Bend, IN 46614-2681 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Megan Martin | Physical Therapy | Beacon Health, LLC | 1815 E Ireland Rd, Suite 100, South Bend, IN 46614-2845 |
| Find all physicians in zip 46614 | |||
| City | SOUTH BEND |
| Zip Code | 46614 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTH BEND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert Lee.
| 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.