Micah J Leestma (NPI# 1013201623, PAC ID# 9133342462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013201623 |
| PAC ID by PECOS | 9133342462 |
| Professional Enrollment ID | I20140805001419 |
| Full Name | Micah J Leestma |
| Organization Legal Name | LEESTMA MEDICAL CLINIC, INC |
| Address |
519 N Halleck St Demotte IN 46310-9553 |
| Phone Number | 2199877750 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850290263 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150166 | PINNACLE HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 151324 | FRANCISCAN HEALTH RENSSELAER, INC |
| Address | Phone | Organization |
|---|---|---|
| 519 N Halleck St, Demotte, IN 46310-9553 | 2199877750 | LEESTMA MEDICAL CLINIC, INC |
| Organization Legal Name | LEESTMA MEDICAL CLINIC, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Adam Jon Leestma | Nurse Practitioner | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Street Address |
519 N HALLECK ST |
| City | DEMOTTE |
| State | IN |
| Zip | 46310-9553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Ann Waters | Nurse Practitioner | Dalal Medical Corporation | 519 N Halleck St, Demotte, IN 46310-9553 |
| Eric J Leestma | Family Medicine | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Adam Jon Leestma | Nurse Practitioner | Leestma Medical Clinic, Inc | 519 N Halleck St, Demotte, IN 46310-9553 |
| Lena A Scheck | Physician Assistant | Dermio Dermatology LLC | 519 N Halleck St, Demotte, IN 46310-9553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Bn Achufusi | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Ugochi G Okoro | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Paul G Sommer | Podiatry | 520 8th Ave Ne, Demotte, IN 46310-9108 | |
| Keri Jo Smith | Nurse Practitioner | Porter Physician Services LLC | 520 8th Ave Ne, Demotte, IN 46310-9108 |
| Teressa M Meseberg | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Sarah M Lukasik | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 310 N Halleck St, Demotte, IN 46310-9419 |
| Mark J Dobson | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Daron Keith Lynch | Chiropractic | Dobson Chiropractic Center PC | 5844 W State Rd, Suite 10, Demotte, IN 46310-9498 |
| Donald Dwayne Sebastian | Chiropractic | 510 N Halleck St, Demotte, IN 46310-9553 |
| City | DEMOTTE |
| Zip Code | 46310 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DEMOTTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Micah J Leestma.
| 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.