LEANNE M MANCINI (NPI# 1033231253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033231253 |
| Entity Type | Individual |
| Full Name | LEANNE M MANCINI |
| Credential | DO |
| Practice Address |
2500 Niles Road Suite 1 St Joseph MI 49085 |
| Practice Telephone | 2694295000 |
| Practice Fax Number | 2694292598 |
| Mailing Telephone | 2694295000 |
| Mailing Fax Number | 2694292598 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101017116 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CONTROLLED SUB | 5315029748 | 01 |
| MI | DEA | FM0152140 | 01 |
| Street Address |
2500 NILES ROAD SUITE 1 |
| City | ST JOSEPH |
| State | MI |
| Zip Code | 49085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407892102 | George L Heenan | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| 1316983018 | Michael E Eggebrecht | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| 1194761940 | Serge P Schillio | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225182702 | Alina Paul | Family Medicine | 226 E Lincoln, St Joseph, IL 61873 | 2007-01-22 |
| 1033288584 | George A. Morris | Family Medicine | 106 2nd Ave Nw, Centracare Clinic, St Joseph, MN 56374-4106 | 2006-11-07 |
| 1528161304 | Sarah Renee Wiederholt | Family Medicine | 5210 North Belt Highway, St Joseph, MO 64506-1211 | 2006-09-06 |
| 1407892102 | George L Heenan | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| 1053376202 | Sigita Alimenti | Family Medicine | 405 Momany Drive, St Joseph, MI 49085-2178 | 2006-04-19 |
| 1639147408 | Chris B Sandberg | Family Medicine | 1515 St Joseph Ave, St Joseph, MO 64505-2631 | 2006-03-09 |
| 1124297965 | Katrina Nicole Wherry | Family Medicine | 1360 Elm Street East, Centracare Clinic St Joseph Family Medicine, St Joseph, MN 56374-4694 | 2008-02-26 |
| 1407948458 | Sean Patrick Wherry | Family Medicine | 1360 Elm Street East, Centracare Clinic St Joseph Family Medicine, St Joseph, MN 56374-4694 | 2006-09-28 |
| 1316983018 | Michael E Eggebrecht | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| 1194761940 | Serge P Schillio | Family Medicine | 2500 Niles Road, Suite 1, St Joseph, MI 49085 | 2006-06-21 |
| Find all providers in ST JOSEPH | ||||
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| 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.