MRS. LESLIE ANN EDDLEMAN (NPI# 1063848653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063848653 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE ANN EDDLEMAN |
| Other Name | MRS. LESLIE ANN SPEARS |
| Credential | D.O. |
| Practice Address |
1328 S York St Muskogee OK 74403-7650 |
| Mailing Address |
Po Box 751 Hulbert OK 74441-0751 |
| Practice Telephone | 9186830470 |
| Practice Fax Number | 9186830475 |
| Mailing Telephone | 9187723390 |
| Mailing Fax Number | 9187722244 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5484 | OK | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 5484 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 Honor Heights Dr., Muskogee, OK 74401 | 9185773000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306110143 | Leslie Aaron Eddleman | Pharmacist | 1230 Lancaster Dr Se, Salem, OR 97317-5800 | 2012-02-24 |
| Street Address |
1328 S YORK ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-7650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422281 | Leticea Marie Newton | Family Medicine | 1328 S York St, Muskogee, OK 74403-7650 | 2005-10-21 |
| 1083169403 | Shelly Schoonover | Nurse Practitioner | 1328 S York St, Muskogee, OK 74403-7650 | 2016-08-16 |
| 1730544305 | Myra A Young | Nurse Practitioner | 1328 S York St, Muskogee, OK 74403-7650 | 2015-12-23 |
| 1396713764 | Paul Wayne Hobbs | Internal Medicine | 1328 S York St, Muskogee, OK 74403-7650 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467651414 | Georges Abdel Massih | Internal Medicine | 211 S. 36th St., Ste. F, Muskogee, OK 74401-5503 | 2007-07-11 |
| 1891894218 | Lenard Austin Poplin | Internal Medicine | 1011 Honor Hts.dr., Muskogee, OK 74401 | 2006-09-22 |
| 1053348094 | Adel George Kyrollos | Internal Medicine | Ccom Medical Group, Inc., 350 S. 40th Street, Muskogee, OK 74401 | 2006-06-26 |
| 1730126210 | David L Kyger | Internal Medicine | 3332 W Okmulgee St, Muskogee, OK 74401-5069 | 2006-06-01 |
| 1811972581 | David L Kyger Md PC | Internal Medicine | 3332 West Okmulgee Street, Muskogee, OK 74401 | 2005-12-14 |
| 1295357804 | Cornerstone Healthcare Group Holding Inc | Internal Medicine | 351 S 40th St, Muskogee, OK 74401-4916 | 2020-05-18 |
| 1609396092 | Aparna Vuppala | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1477086510 | Rachel Leigh Usala | Internal Medicine | 3332 W Okmulgee St, Muskogee, OK 74401-5069 | 2017-04-05 |
| 1346634789 | Jennifer Thomas | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2015-03-24 |
| 1386036333 | Larry Johnston | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2015-02-28 |
| Find all providers in MUSKOGEE | ||||
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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.