Active NPI
Lee Memorial Health System
- Internal Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEE MEMORIAL HEALTH SYSTEM
- Practice address
- 9981 S Healthpark Dr
Fort Myers, FL 33908-3618 - Phone
- (239) 424-1500
- Fax
- (239) 424-1423
- NPI assigned
- Dec 1, 2006
- Last updated
- Nov 12, 2021
- 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
- Benjamin Spence
- Title
- Cfo
- Phone
- (239) 343-6014
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | NU | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU | ||
| Rheumatology Physician | 207RR0500X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Ophthalmology Physician | 207W00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | NU | ||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | NU | ||
| Pediatric Critical Care Medicine Physician | 2080P0203X | NU | ||
| General Practice Physician | 208D00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1500
Other practice location 1
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 424-1400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010110904 | Medicaid | FL | |
| 010110903 | Medicaid | FL | |
| 010110910 | Medicaid | FL | |
| 010110914 | Medicaid | FL | |
| 010110909 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000604 | FL | Part B Supplier - Clinic/Group Practice | 8729996608 |
Receives reassigned benefits from 1,533 practitioners 7 other NPIs on this enrollment |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba LCH-Peds Behavioral Health la
- Federally Qualified Health Center (FQHC)
- Lehigh Acres, FL
- NPI 1366179806
8729996608
-
dba Lee Health Solutions
- General Practice Physician
- Cape Coral, FL
- NPI 1902379209
8729996608
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Fort Myers, FL
- NPI 1134222532
O20031118000604
-
dba LCH - Golisano Peds BH - Quality Life Center
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1447099973
O20031118000604
-
dba LCH -Adult Hematology/Oncology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1720715295
O20031118000604
-
dba LCH- Pediatric Ophthalmology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
O20031118000604
National Provider Directory
National Provider DirectoryLocations
4410 SE 16th Pl
Cape Coral, FL 33904
Phone (239) 542-4356
4507 SE 16th Pl
Cape Coral, FL 33904
Phone (941) 334-5933
650 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 424-2060
650 Del Prado Blvd S
Ste 107
Cape Coral, FL 33990
19511 Highland Oaks Dr
Estero, FL 33928
19910 S Tamiami Trl
Estero, FL 33928
Phone (239) 676-8677
3501 Health Center Blvd
Ste 2410
Estero, FL 34135
Phone (239) 468-0285
12600 Creekside Ln
Ste 2
Fort Myers, FL 33919
Phone (239) 343-9235
12651 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 424-2030
13340 Metro Pkwy
Ste 200
Fort Myers, FL 33966
Phone (239) 343-0550
13685 Doctors Way
Ste 170
Fort Myers, FL 33912
Phone (239) 343-0629
13685 Doctors Way
Ste 350
Fort Myers, FL 33912
Phone (239) 343-1000
13782 Plantation Rd
Ste 201
Fort Myers, FL 33912
Phone (239) 343-1100
15901 Bass Rd
Ste 100
Fort Myers, FL 33908
Phone (239) 343-6100
16230 Summerlin Rd
Ste 213
Fort Myers, FL 33908
Phone (239) 343-7450
16261 Bass Rd
Ste 300
Fort Myers, FL 33908
Phone (239) 274-8866
16410 Healthpark Commons Dr
Fort Myers, FL 33908
2780 Cleveland Ave
#720
Fort Myers, FL 33901
Phone (813) 332-6474
8380 Riverwalk Park Blvd
Ste 100
Fort Myers, FL 33919
Phone (239) 343-9960
8931 Colonial Center Dr
Ste 302
Fort Myers, FL 33905
Phone (239) 343-9567
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rehabilitation Hospital of Fort Myers | Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Feb 27, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Rehabilitation Hospital of Fort Myers
- Rehabilitation Hospital
- Fort Myers, FL
- NPI 1225847213
5% Or Greater Indirect Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1,550
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Fort Myers, FL
- NPI 1891956678
-
- Pediatric Urology Physician
- Tampa, FL
- NPI 1619298502
-
- Cardiovascular Disease Physician
- Fort Myers, FL
- NPI 1548523236
Internal Medicine
-
- Surgery Physician
- Fort Myers, FL
- NPI 1588782585
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1508479395
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Fort Myers, FL
- NPI 1275629297
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1528704038
-
- Gerontology Nurse Practitioner
- Fort Myers, FL
- NPI 1093414559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1992873319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1500",
"fax_number": "239-424-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083618",
"telephone_number": "239-424-1500",
"fax_number": "239-424-1423"
}
],
"practiceLocations": [
{
"address_1": "2776 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015864",
"country_code": "US",
"telephone_number": "239-424-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEE MEMORIAL HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "239-343-6014"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010110904",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010110903",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010110910",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010110914",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010110909",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Lee Memorial Health System (LCH-Family Medicine- Dunbar at MLK)
- Lee Memorial Health System (LCH-OB/GYN WCMP)
- Lee Memorial Health System (LCH-Addicition Medicine NB)
- Lee Memorial Health System (Lee Memorial Skilled Nursing Unit)
- Lee Memorial Health System (Gulf Coast Medical Center)
- Lee Memorial Home Health Inc (Lee Memorial Home Health)
- Lee Senior Services, LLC (Home Health by Cypress at Home)
- Lee Senior Services, LLC (Concierge Medical Care by Cypress at Home)
- Lee Wellness and Rehab LLC
- Alexandra Cristina Lee, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.