MELISSA LENDERMAN (NPI# 1295761724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295761724 |
| Entity Type | Individual |
| Full Name | MELISSA LENDERMAN |
| Credential | PA-C |
| Practice Address |
320 N Madison St Pittsfield IL 62363 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4096 |
| Practice Telephone | 2172859601 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006701 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA136 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3668023 | 05 | |
| TN | RAILROAD MEDICARE | CA7018 | 01 |
| Street Address |
320 N MADISON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711120 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 320 N Madison St, Pittsfield, IL 62363-1412 | 2019-10-16 |
| 1861928491 | Alexis N. Murk | Registered Nurse | 320 N Madison St, Pittsfield, IL 62363 | 2017-05-02 |
| 1639546815 | Jessica Bentele | Social Worker | 320 N Madison St, Pittsfield, IL 62363-1412 | 2015-08-24 |
| 1972907848 | Laura A Wroge | Physician Assistant | 320 N Madison St, Pittsfield, IL 62363 | 2014-10-21 |
| 1912269614 | Sarah Jane Knight | Physical Therapist | 320 N Madison St, Pittsfield, IL 62363-1412 | 2012-06-09 |
| 1053556647 | Kendra Jo Conkright | Internal Medicine | 320 N Madison St, Pittsfield, IL 62363-1412 | 2008-12-10 |
| 1508064932 | Craig R Davenport | Family Medicine | 320 N Madison St, Pittsfield, IL 62363-1412 | 2007-07-06 |
| 1891831566 | Sebastian Baginski | Family Medicine | 320 N Madison St, Pittsfield, IL 62363-1412 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176772 | Anita Raj | Physician Assistant | 510 North St Ste 7, Pittsfield, MA 01201-4127 | 2018-12-18 |
| 1508241688 | Cyndi Goodrich | Physician Assistant | 777 North St Ste 203, Pittsfield, MA 01201-4123 | 2015-07-30 |
| 1891967758 | Karen M Honikel | Physician Assistant | 21 George Street, Pittsfield, MA 01201 | 2008-03-31 |
| 1790870244 | Susan G. Zepka | Physician Assistant | 725 North St., Berkshire Medical Center Emergency Dept, Pittsfield, MA 01201 | 2006-10-03 |
| 1255442364 | Victoria C. Burgess | Physician Assistant | 631 B North Street, Pittsfield, MA 01201-4109 | 2006-08-31 |
| 1215925011 | Jeffrey J Kellogg | Physician Assistant | 510 North St, Pittsfield, MA 01201-5493 | 2005-10-06 |
| 1245841840 | Katlyn Rowe | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2020-08-17 |
| 1578032058 | Emergency Medicine Services of Maine, LLC | Physician Assistant | 447 N Main St, Pittsfield, ME 04967-3707 | 2018-11-14 |
| 1285140897 | Erin Talbot | Physician Assistant | 24 Park St, Pittsfield, MA 01201-4037 | 2017-12-19 |
| 1760993083 | Ashley Marie Emmell | Physician Assistant | 725 North St, Pittsfield, MA 01201-4109 | 2017-10-13 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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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.