LEE MEMORIAL HEALTH SYSTEM (NPI# 1740697978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740697978 |
Entity Type | Organization |
Organization Name | LEE MEMORIAL HEALTH SYSTEM |
Other Organization Name | LCC PHYSICIANS |
Practice Address |
4771 S Cleveland Ave Fort Myers FL 33907-1317 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393439800 |
Practice Fax Number | 2393439848 |
Mailing Telephone | 2394241400 |
Mailing Fax Number | 2394241421 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |
Authorized Official Name | JAMES R NATHAN (CEO) |
Authorized Official Telephone | 2393436150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
LCC Physicians | 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 |
4771 S CLEVELAND AVE |
City | FORT MYERS |
State | FL |
Zip Code | 33907-1317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396744827 | Andrew H Singh | Preventive Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2005-07-18 |
1235789926 | Angela Battig | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2019-09-16 |
1013422716 | Alex Leyon Lagodzinski | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-12-05 |
1508395633 | Maria Elisa Marconi | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2017-06-12 |
1669924452 | Stacy Parker | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2016-10-27 |
1356893499 | Heidi Alexander | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-10-25 |
1083072094 | Susan Whatley | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2016-02-04 |
1740658368 | Brittanee Donovan | Physician Assistant | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2015-09-14 |
1164823043 | Sarah Mcgregor | Nurse Practitioner | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2014-09-10 |
1366869299 | Tuan Duc Phan | Family Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2014-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
Find all providers in zip 33907 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922646306 | Duxana Medical Center Corp | General Practice | 5248 Red Cedar Dr Ste 102, Fort Myers, FL 33907-4522 | 2019-12-16 |
1821573684 | Healthwise Medical Practice LLC | General Practice | 1415 Colonial Blvd, Fort Myers, FL 33907-1043 | 2018-09-27 |
1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
1952820656 | Robert A Didonato | General Practice | 3677 Central Ave Ste K, Fort Myers, FL 33901-8226 | 2017-09-13 |
1508094335 | Alexander R White | General Practice | 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908-7684 | 2009-07-01 |
1144472101 | Eugene Angelo Cozza | General Practice | 59 Timberland Circle, Fort Myers, FL 33919 | 2008-10-21 |
1346365368 | Vincent Go | General Practice | 13801 White Gardenia Way, Fort Myers, FL 33912-5678 | 2007-03-20 |
1649385790 | Francisco Maximo Vazquez | General Practice | 4595 Palm Beach Blvd, Suite 1, Fort Myers, FL 33905-3400 | 2006-08-20 |
1073547972 | Jessie Martin | General Practice | 1415 Colonial Blvd Ste 1, Fort Myers, FL 33907 | 2006-07-10 |
1902379209 | Lee Memorial Health System | General Practice | 12550 New Brittany Blvd, Fort Myers, FL 33907-3655 | 2019-01-09 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33907 |
Please comment or provide details below to improve the information on LEE MEMORIAL HEALTH SYSTEM.
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.