Amanda Heisel (NPI# 1073041760, PAC ID# 3678841228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073041760 |
| PAC ID by PECOS | 3678841228 |
| Professional Enrollment ID | I20170622002230 |
| Full Name | Amanda Heisel |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Address |
901 Patients 1st Dr Suite 3400 Washington MO 63090-4700 |
| Phone Number | 6362395155 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395768253 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 901 Patients 1st Dr, Suite 3400, Washington, MO 63090-4700 | 6362395155 | MERCY CLINIC UROLOGY LLC |
| Organization Legal Name | MERCY CLINIC UROLOGY LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurdarshan Sandhu | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Adam Salaber | Physician Assistant | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Thomas H Landon | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Charles Gill | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Patricia W Heller | Urology | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Sunil M Apte | Urology | Mercy Clinic Urology LLC | 1326 S Service W Rd, Suite 30, Sullivan, MO 63080-2306 |
| Robin D Goff | Nurse Practitioner | Mercy Clinic Urology LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Carrie Elise Johans | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Jacob Parke | Urology | Mercy Clinic Urology LLC | 607 S New Ballas Rd, Suite 3100, St Louis, MO 63141-8219 |
| Rajen H Doshi | Urology | Mercy Clinic Urology LLC | 1390 Us Hwy 61 N1500, Mercy Clinic Urology Jefferson, Festus, MO 63028-4137 |
| Street Address |
901 PATIENTS 1ST DR SUITE 3400 |
| City | WASHINGTON |
| State | MO |
| Zip | 63090-4700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Finnie | Hematology/oncology | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Stacy Schroeder | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Tanya M Mccormack | Qualified Audiologist | Mercy Clinic Ent LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Nicholas William Frederickson | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Suite 3300, Washington, MO 63090-4700 |
| John R Douglas Peterson | Gastroenterology | Mercy Clinic Gastroenterology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Kayla S Fahle | Physician Assistant | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Tammara S Goldschmidt | Anesthesiology | Western Anesthesiology Associates Inc | 901 Patients 1st Dr, Suite 108, Washington, MO 63090-4700 |
| Tamara Bailey | Nurse Practitioner | Mercy Clinic East Communities | 901 Patients 1st Dr, Suite 2300, Washington, MO 63090-4700 |
| Jennifer S Kloth | Nurse Practitioner | Mercy Clinic Oncology LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Kristin Louise Fisher | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher J Feldmann | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Lawrence M Gerstein | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Edward Obermark | Optometry | 222 W Main St, Washington, MO 63090-2154 | |
| Timothy G Jones | Clinical Social Worker | 309 W 4th St, Suite 101, Washington, MO 63090-2335 | |
| Maria Bitzer | Nurse Practitioner | Psych Care Consultants LLC | 205 Elm St, Suite 202, Washington, MO 63090-2342 |
| Bradly Gould | Chiropractic | 707 Jefferson St, Washington, MO 63090-2709 | |
| Yael Y Diplacido-eastman | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Holly S Schmitt | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Daryl L Meisburger | Clinical Psychologist | 529 E 5th St, Washington, MO 63090-2903 | |
| Michael Korenfeld | Ophthalmology | Comprehensive Eye Care, Ltd. | 901 E 3rd St, Washington, MO 63090-3010 |
| Find all physicians in zip 63090 | |||
| City | WASHINGTON |
| Zip Code | 63090 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WASHINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Heisel.
| 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.