HEATHER LEISY (NPI# 1942590518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942590518 |
| Entity Type | Individual |
| Full Name | HEATHER LEISY |
| Other Name | DR. HEATHER LEISY |
| Credential | MD, MBA, MPH |
| Practice Address |
360 N Irby St Florence SC 29501 |
| Mailing Address |
360 N Irby St Florence SC 29501-2808 |
| Practice Telephone | 8436679414 |
| Practice Fax Number | 8436671362 |
| Mailing Telephone | 8436679414 |
| Mailing Fax Number | 8436671362 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD52531 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 E Cheves St, Florence, SC 29506 | 8888087466 |
| Street Address |
360 N IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386628147 | Brian Ansel Hanna | Family Medicine | 360 N Irby St, Florence, SC 29501-2808 | 2005-12-05 |
| 1255950606 | Taylor Nicole Thompson | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2020-04-15 |
| 1235761339 | Sonda Jett-clair | Health Educator | 360 N Irby St, Florence, SC 29501-2808 | 2020-02-06 |
| 1629617907 | Atalee Moore Jones | Physician Assistant | 360 N Irby St, Florence, SC 29501-2808 | 2020-01-03 |
| 1295382059 | Kristina M Washington | Physician Assistant | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-26 |
| 1306493200 | Meredith Coker Nobles | Pharmacist | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-25 |
| 1578110581 | Jessica Lynn Robertson | Social Worker | 360 N Irby St, Florence, SC 29501-2808 | 2019-08-23 |
| 1831751486 | Faith Tangel Scott | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2019-07-03 |
| 1285102442 | William Marion Hunter IIi | Psychologist | 360 N Irby St, Florence, SC 29501-2808 | 2018-11-06 |
| 1285120048 | Timothy C Weaver | Nurse Practitioner | 360 N Irby St, Florence, SC 29501-2808 | 2018-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346720885 | Ann Blair Kennedy | Preventive Medicine | 60 Presidents Dr, Gray Court, SC 29645-6887 | 2018-08-15 |
| 1073040291 | Jeamil W Hardin | Preventive Medicine | 529 Sirrine St, Chester, SC 29706-2728 | 2017-05-18 |
| 1861860918 | William Floyd Jessee | Preventive Medicine | 9 River Club Dr, Fripp Island, SC 29920-7154 | 2015-09-07 |
| 1669802559 | Passport Health Holdings LLC | Preventive Medicine | 260 W Coleman Blvd, Ste B, Mt Pleasant, SC 29464-3666 | 2013-11-14 |
| 1609206564 | Passport Health Holdings LLC | Preventive Medicine | 2318-b Sunset Blvd, West Columbia, SC 29169-4716 | 2013-11-13 |
| 1043640048 | Passport Health Holdings LLC | Preventive Medicine | 3691 Palmetto Point Blvd, Ste 301, Myrtle Beach, SC 29588-1202 | 2013-11-13 |
| 1790084515 | Robert Frank Marino | Preventive Medicine | 2213 Bee Ridge Rd, Columbia, SC 29223-6802 | 2011-03-18 |
| 1396076071 | Lena Bretous | Preventive Medicine | 4104 Percival Rd, Columbia, SC 29229-8307 | 2010-01-20 |
| 1043480932 | John Branham Tomarchio | Preventive Medicine | 1055 Ribaut Rd Ste 30, Beaufort, SC 29902 | 2008-03-06 |
| 1609071984 | Michael Jeremiah Gibson | Preventive Medicine | 401 Thompson Blvd, Union, SC 29379-1553 | 2007-06-18 |
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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.