MRS. LESA RENEE' SEALES (NPI# 1811969892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811969892 |
| Entity Type | Individual |
| Full Name | MRS. LESA RENEE' SEALES |
| Other Name | MISS LESA RENEE' STOECKLIN |
| Credential | AA-C |
| Practice Address |
211 S. 3rd St. Belleville IL 62221 |
| Mailing Address |
3215 Executive Park Dr. Hshs Medical Group Springfield IL 62703 |
| Practice Telephone | 6182342120 |
| Practice Fax Number | 6186415410 |
| Mailing Telephone | 6182342120 |
| Mailing Fax Number | 6186415410 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
AA NOT LIC. BY S | IL | Nursing Service Providers |
| Y | 367H00000X | Anesthesiologist Assistant | 161D | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417997131 | Lesa Marie Seales | Chiropractor | 849 Park Ave, Grand Haven, MI 49417-2112 | 2006-06-08 |
| Street Address |
211 S. 3RD ST. |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891230538 | Sonia Rani Mandal | Anesthesiologist Assistant | 715 Belleville Ave, Belleville, NJ 07109-1375 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286399 | Andreja Lakic | Anesthesiologist Assistant | 653 Mulberry Dr, Prospect Heights, IL 60070-3427 | 2017-03-10 |
| 1144722802 | Midwest Anesthesia and Pain Services LLC | Anesthesiologist Assistant | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 | 2018-03-08 |
| 1205149010 | Anna M Varvel | Anesthesiologist Assistant | 800 E Carpenter St, Springfield, IL 62769-9999 | 2010-07-21 |
| 1164463782 | Brenda R Greene | Anesthesiologist Assistant | 1800 Hollister Dr, Suite 202, Libertyville, IL 60048-5263 | 2006-06-08 |
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on MRS. LESA RENEE' SEALES.
| 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.