LEROY SPURLOCK (NPI# 1588181523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588181523 |
| Entity Type | Individual |
| Full Name | LEROY SPURLOCK |
| Credential | PA |
| Practice Address |
248 Mchenry St Burlington WI 53105-1828 |
| Practice Telephone | 2627678100 |
| Practice Fax Number | 2627678199 |
| Mailing Telephone | 2627678100 |
| Mailing Fax Number | 2627678199 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4607 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
248 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731529 | Carol Ann Seitz | Registered Nurse | 248 Mchenry St, Burlington, WI 53105-1828 | 2005-06-22 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| 1649740614 | Kirby Curby-warner | Midwife | 248 Mchenry St, Burlington, WI 53105-1828 | 2018-12-03 |
| 1487150629 | Michael Mesirow | Physician Assistant | 248 Mchenry St, Burlington, WI 53105 | 2018-04-05 |
| 1447791363 | Desiree A Mengo | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105 | 2017-03-10 |
| 1184075053 | Corina E Beck | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2016-06-22 |
| 1528492469 | Kristina J Krogstad | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2013-08-28 |
| 1952666554 | Kora Lane Adam | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-07-10 |
| 1831452226 | Danielle D Storm | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-06-20 |
| 1689930612 | Robert L Richmond | Internal Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| 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 |
|---|---|---|---|---|
| 1598399743 | Samantha Pandick Vaillancourt | Physician Assistant | 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 | 2020-02-26 |
| 1770116576 | Mh Medical Services, PC | Physician Assistant | 1737 Whites Kennel Rd, Burlington, NC 27215-8977 | 2020-02-20 |
| 1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
| 1174087548 | Lindsay Elaine Damaso | Physician Assistant | 6 Frothingham Rd, Burlington, MA 01803-4002 | 2019-01-30 |
| 1902375744 | San Michael Kyte | Physician Assistant | 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 | 2018-11-22 |
| 1871010074 | Adriana M Pollak | Physician Assistant | 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 | 2017-08-28 |
| 1679920581 | Jenna Bruno | Physician Assistant | 8 Pontos Ave, Burlington, MA 01803-2127 | 2016-05-20 |
| 1770963332 | Christopher Walden | Physician Assistant | 2016 Wall Ave, Burlington, NJ 08016-3616 | 2015-06-08 |
| 1447655568 | Bushra Khan | Physician Assistant | 1174 Kaye Ct, Burlington, NJ 08016-2266 | 2014-10-31 |
| 1831527191 | Autumn Kari Konz | Physician Assistant | 1234 Huffman Hill Road, Burlington, NC 27215-8700 | 2013-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.