Leland Stillman (NPI# 1497167704, PAC ID# 2860610326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1497167704 |
| PAC ID by PECOS | 2860610326 |
| Professional Enrollment ID | I20180207003011 |
| Full Name | Leland Stillman |
| Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
| Address |
115 10th Ave Ne Suite A Deer River MN 56636-8795 |
| Phone Number | 2182468275 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 1850388448 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241360 | DEER RIVER HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 | 2182468275 | DEER RIVER HEALTHCARE CENTER INC |
| Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meg E. Demuri | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Thomas E Howard Ii | Emergency Medicine | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
| Paula M Hedin | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Natalie J Gustafson | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Lori A Sutherland | Certified Registered Nurse Anesthetist (crna) | Deer River Healthcare Center Inc | 115 10th Ave Ne, Deer River, MN 56636-8795 |
| Thomas J Witt | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| Danika Jo Nichols | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Janna Lynn Block | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Tasha Lea Waage | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Elizabeth R Kohn | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3557 |
| Street Address |
115 10TH AVE NE SUITE A |
| City | DEER RIVER |
| State | MN |
| Zip | 56636-8795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Howard Ii | Emergency Medicine | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
| Lori A Sutherland | Certified Registered Nurse Anesthetist (crna) | Deer River Healthcare Center Inc | 115 10th Ave Ne, Deer River, MN 56636-8795 |
| Stephanie B Alexander | Nurse Practitioner | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
| Kevin P Barsness | Certified Registered Nurse Anesthetist | Deer River Healthcare Center Inc | 115 10th Ave Ne, Deer River, MN 56636-9700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Lee Carter | Dentist | 111 Main St, Deer River, MN 56636 | |
| Jean M Vaneps | Nurse Practitioner | 708 Division St, Deer River, MN 56636-8706 |
| City | DEER RIVER |
| Zip Code | 56636 |
| Specialty | HOSPITALIST |
| City + Specialty | DEER RIVER + HOSPITALIST |
Please comment or provide details below to improve the information on Leland Stillman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.