MRS. AMBER LEIGH POETTKER (NPI# 1417252453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417252453 |
| Entity Type | Individual |
| Full Name | MRS. AMBER LEIGH POETTKER |
| Other Name | AMBER LEIGH VON BOKEL |
| Credential | PA-C |
| Practice Address |
9401 Holy Cross Ln Suite 112 Breese IL 62230-3510 |
| Practice Telephone | 6185267271 |
| Mailing Telephone | 6185267271 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.003978 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9401 HOLY CROSS LN SUITE 112 |
| City | BREESE |
| State | IL |
| Zip Code | 62230-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612790 | Renato Bacol Rivera | Surgery | 9401 Holy Cross Ln, Suite 111, Breese, IL 62230-3510 | 2005-07-07 |
| 1174732945 | Douglas M. Kuhl | Pediatrics | 9401 Holy Cross Ln, Suite 112b, Breese, IL 62230-3510 | 2007-05-21 |
| 1477618734 | Fred Charles Boch | Social Worker | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-12-27 |
| 1013027945 | Roch Andre Lefebvre | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1326158254 | Jonathan Vaughn Osborn | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1740399674 | Timothy Manson Beaty | Family Medicine | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1851401715 | Paula Robin Griffee-wilcox | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1265542120 | Amy Kathleen Krause | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1811945264 | David L Neighbors | Family Medicine | 9401 Holy Cross Ln, Breese, IL 62230-3510 | 2006-05-05 |
| 1992772289 | David Louis Kee | Podiatrist | 9401 Holy Cross Ln, Suite 115, Breese, IL 62230-3510 | 2006-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851401715 | Paula Robin Griffee-wilcox | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| 1265542120 | Amy Kathleen Krause | Physician Assistant | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
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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.