COURTNEY LEDDELL (NPI# 1962508523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962508523 |
| Entity Type | Individual |
| Full Name | COURTNEY LEDDELL |
| Credential | MD |
| Practice Address |
1300 Franklin Ave Normal IL 61761-3592 |
| Mailing Address |
925 Sherwood Dr Lake Bluff IL 60044-2203 |
| Practice Telephone | 3094541400 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1300 FRANKLIN AVE |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422663 | Timothy J Buffey | Family Medicine | 1300 Franklin Ave, Suite 100, Normal, IL 61761-3592 | 2005-07-26 |
| 1184117038 | Paul Jene Gustin | Neurological Surgery | 1300 Franklin Ave, Normal, IL 61761-3592 | 2018-06-14 |
| 1093174690 | Jessica Sinks | Nurse Practitioner | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2016-02-11 |
| 1720460025 | Matthew James Putty | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-23 |
| 1508247370 | Michael Young | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2015-06-17 |
| 1639585920 | John Christopher Hawkins II | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-07-07 |
| 1154736452 | Summer Mustafa Hassan | Family Medicine | 1300 Franklin Ave, Suite #110, Normal, IL 61761-3592 | 2014-06-25 |
| 1861807174 | Evan Krueger | Neurological Surgery | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2014-06-25 |
| 1982045209 | Gurpreet Singh | Internal Medicine | 1300 Franklin Ave, Suite 380, Normal, IL 61761-3592 | 2013-07-15 |
| 1861756728 | Daniel William Gibson | Family Medicine | 1300 Franklin Ave, Pob Suite #100, Normal, IL 61761-3592 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992064166 | Airway Anesthesia PC | Anesthesiology | 1105 Sterling Glen Cc Ct, Normal, IL 61761-5297 | 2012-05-09 |
| 1518928134 | Donald Joseph Warner | Anesthesiology | 1116 E Ironwood Dr, Normal, IL 61761-5233 | 2006-03-31 |
| 1700252228 | Prairieland Outpatient Diagnostic Center, LLC | Anesthesiology | 1302 Franklin Ave, Suite 1000, Normal, IL 61761-3551 | 2015-08-19 |
| 1396189411 | Consulting Anesthesiologists LLC | Anesthesiology | 1302 Franklin Ave, Normal, IL 61761-3551 | 2013-04-19 |
| 1760754378 | Normal Bloomington Anesthesiologists, Ltd | Anesthesiology | 1304 Franklin Ave, Normal, IL 61761-3558 | 2012-01-30 |
| 1982936662 | Chris M Heddon | Anesthesiology | 1300 Franklin Ave, Suite 110, Normal, IL 61761-3592 | 2010-02-05 |
| 1407913684 | Sanjay Sutaria | Anesthesiology | 1300 Franklin Ave, Normal, IL 61761-3592 | 2007-01-03 |
| 1679679237 | Edward Panopio | Anesthesiology | 1300 Franklin Ave, Normal, IL 61761-3592 | 2006-09-14 |
| 1013993872 | Mark Lanzerotte | Anesthesiology | 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 | 2005-12-22 |
| 1144217472 | Nancy Davis | Anesthesiology | 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 | 2005-10-03 |
| Find all providers in NORMAL | ||||
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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.