LESLIE MATHERS III (NPI# 1487675161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487675161 |
Entity Type | Individual |
Full Name | LESLIE MATHERS III |
Credential | M.D. |
Practice Address |
1701 E College Ave Bloomington IL 61704-2101 |
Mailing Address |
602 W University Ave Urbana IL 61801-2530 |
Practice Telephone | 3096643038 |
Mailing Telephone | 2173833311 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2009-11-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036055260 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE GROUP PTAN | IL2613 | 01 |
Street Address |
1701 E COLLEGE AVE |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-2101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602140 | Brandy Lynn Redman | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2005-07-12 |
1336777515 | Paula Roberts | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2020-04-01 |
1689150948 | Barbara Luann Weis | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-07-18 |
1366949224 | Kayla Marie Hnilicka | Registered Nurse | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-04-09 |
1992227052 | Christine C Gardner | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2017-07-11 |
1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
1285013029 | Andrew Tharp | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2015-05-27 |
1154670073 | Amy Lynn Nelson | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-09-06 |
1336403237 | Derrick Alwyn Fox | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-06-26 |
1437434982 | Abbi Carr | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2011-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
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1265746689 | Floyd Edward Thurston | Preventive Medicine | 3310 E Mulberry Ct, Bloomington, IN 47401-2425 | 2010-07-27 |
1023278207 | Dorothy J. Lenzi | Preventive Medicine | 301 N Curry Pike, Bloomington, IN 47404-2502 | 2008-06-11 |
1508048133 | Kirsten Marie Koos | Preventive Medicine | 8500 Normandale Lake Blvd, Bloomington, MN 55437-3813 | 2007-12-05 |
1902066400 | St Joseph Medical Center | Preventive Medicine | 1505 Eastland Dr, Suite 1000, Bloomington, IL 61701-3534 | 2008-06-10 |
1881715290 | John Stewart Jacoby | Preventive Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2007-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356816466 | Taylor Nicole Rich | Preventive Medicine | 2408 Hampshire Dr Apt 2, Champaign, IL 61820-1215 | 2018-10-05 |
1720517568 | Avrom Simon | Preventive Medicine | 128 S Aberdeen St Unit 5s, Chicago, IL 60607-1507 | 2017-06-06 |
1215332531 | Cheryl Culberson | Preventive Medicine | 350 Surryse Rd Ste 110, Lake Zurich, IL 60047-3217 | 2014-10-29 |
1497018493 | Brian Charles Svazas | Preventive Medicine | 211 Kenilworth Ave, Glen Ellyn, IL 60137-5324 | 2012-06-25 |
1205129764 | Zbigniev Durlak | Preventive Medicine | 9930 Stratford L, Palos Hills, IL 60465 | 2011-05-17 |
1609168657 | New Life Pentecostal Medical Clinic for The Uninsured Inc | Preventive Medicine | 183 N Schuyler Ave, Kankakee, IL 60901-3828 | 2011-05-10 |
1821305269 | Daniel Alexander Bakston | Preventive Medicine | 835 S. Wolcott Ave E-144, University of Illinois Medical Center, Chicago, IL 60612-4006 | 2010-09-07 |
1194951913 | Sonya Meyers | Preventive Medicine | 835 S Wolcott Ave # E144, Chicago, IL 60612-3748 | 2009-06-08 |
1073755021 | Afiz A. Taiwo, Md. Mph. S.c. | Preventive Medicine | 309 Pinehurst Dr, Palos Heights, IL 60463-2911 | 2009-04-06 |
1104077494 | William Dawson | Preventive Medicine | 700 Woodmere Ln, Glenview, IL 60025-4469 | 2008-10-04 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 61704 |
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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.