Lehigh Hma LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4395 Issued in FL

Legal business name

LEHIGH HMA LLC

Practice address

1500 Lee Blvd
Lehigh Acres, FL 33936-4835

Phone

(239) 369-2101

Fax

(239) 368-4510

NPI assigned

May 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Lehigh Regional Medical Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh Chavakula, MD

  • Specialist
  • Fort Myers, FL
  • NPI 1598719551
  NPD (past)
• Michael J. Katin, MD

  • Radiation Oncology Physician
  • Woonsocket, RI
  • NPI 1811994999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1083669683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364835",
            "telephone_number": "239-369-2101",
            "fax_number": "239-368-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364835",
            "telephone_number": "239-369-2101",
            "fax_number": "239-368-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010111700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE # FOR LEHIGH GE GROUP",
            "identifier": "DA4247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lehigh Hma LLC
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• Lehigh Hma Physician Management, LLC
• Lehigh Hma Physician Management, LLC
• Lehigh Hma Physician Management, LLC

• General Acute Care Hospital in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.