Heather C Leasure (NPI# 1700326220, PAC ID# 7517243249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700326220 |
| PAC ID by PECOS | 7517243249 |
| Professional Enrollment ID | I20170412002133 |
| Full Name | Heather C Leasure |
| Organization Legal Name | ROCKFORD PAIN CENTER LTD |
| Address |
2902 Mcfarland Rd Suite 202 Rockford IL 61107-6801 |
| Phone Number | 8153167300 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658403357 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2902 Mcfarland Rd, Suite 202, Rockford, IL 61107-6801 | 8153167300 | ROCKFORD PAIN CENTER LTD |
| Organization Legal Name | ROCKFORD PAIN CENTER LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick J Gahl | Pain Management | Rockford Pain Center Ltd | 2902 Mcfarland Rd, Suite 202, Rockford, IL 61107-6801 |
| Thomas K Dahlberg | Pain Management | Rockford Pain Center Ltd | 2902 Mcfarland Rd, Suite 202, Rockford, IL 61107-6801 |
| Street Address |
2902 MCFARLAND RD SUITE 202 |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-6801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley M Wolf | Physician Assistant | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Angela D Johnson | Nurse Practitioner | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Cassie M Alderks | Physical Therapy | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Michael S Roh | Orthopedic Surgery | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Sean C Soare | Physician Assistant | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Frederick A Sweet | Orthopedic Surgery | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Christopher D Sliva | Orthopedic Surgery | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Frederick J Gahl | Pain Management | Rockford Pain Center Ltd | 2902 Mcfarland Rd, Suite 202, Rockford, IL 61107-6801 |
| Thomas K Dahlberg | Pain Management | Rockford Pain Center Ltd | 2902 Mcfarland Rd, Suite 202, Rockford, IL 61107-6801 |
| Marie A Walker | Physical Medicine and Rehabilitation | Rockford Spine Center Ltd | 2902 Mcfarland Rd, Rockford, IL 61107-6801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather C Leasure.
| 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.