Active NPI
Im Hospitalist, PA
- General Practice Physician
- Lehigh Acres, FL
National Provider Identifier
1457546988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- IM HOSPITALIST, PA
- Practice address
- 615 Williams Ave
Suite 102
Lehigh Acres, FL 33972-7947 - Phone
- (239) 303-2600
- Fax
- (239) 303-2604
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerilee E Lomas, MD
- Title
- Co-Owner
- Phone
- (239) 303-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
615 Williams Ave
Suite 102
Lehigh Acres, FL 33972-7947
Mailing address
1530 Lee Blvd
Suite 1100
Lehigh Acres, FL 33936-4893
Phone (239) 303-2600
National Provider Directory
National Provider DirectoryLocations
615 Williams Ave
Unit 102
Lehigh Acres, FL 33972
Phone (239) 303-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1457546988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LEE BLVD",
"address_2": "SUITE 1100",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364893",
"telephone_number": "239-303-2600",
"fax_number": "239-303-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WILLIAMS AVE",
"address_2": "SUITE 102",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727947",
"telephone_number": "239-303-2600",
"fax_number": "239-303-2604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IM HOSPITALIST, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "LOMAS",
"authorized_official_first_name": "JERILEE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "239-303-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.