NPIMap

Organization Active NPI

Lee Memorial

  • Critical Access Hospital
  • Fort Myers, FL
National Provider Identifier
1902103583
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
PA9104597 Issued in FL
Legal business name
LEE MEMORIAL
Practice address
13681 Doctors Way Ste 16043
Fort Myers, FL 33912-4300
Phone
(239) 343-0787
Fax
(239) 343-0487
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Marilyn Kole, M.D.
Title
ICU Director
Phone
(239) 343-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X PA9104597 FL Primary

Addresses

Primary practice location

13681 Doctors Way Ste 16043
Fort Myers, FL 33912-4300

Mailing address

13681 Doctors Way Ste 16043
Fort Myers, FL 33912-4300
Phone (239) 343-0787

National Provider Directory

National Provider Directory

Locations

13681 Doctors Way
Ste 16043
Fort Myers, FL 33912
Phone (239) 343-0787

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1902103583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY STE 16043",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124300",
            "telephone_number": "239-343-0787",
            "fax_number": "239-343-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY STE 16043",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124300",
            "telephone_number": "239-343-0787",
            "fax_number": "239-343-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "KOLE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ICU DIRECTOR",
        "authorized_official_telephone_number": "239-343-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "PA9104597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.