DR. LESLIE E JOHNSON (NPI# 1336111897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336111897 |
| Entity Type | Individual |
| Full Name | DR. LESLIE E JOHNSON |
| Credential | M.D. |
| Practice Address |
6339 N Big Hollow Rd Peoria IL 61615-2908 |
| Practice Telephone | 3096933315 |
| Practice Fax Number | 3096939385 |
| Mailing Telephone | 3096933315 |
| Mailing Fax Number | 3096939385 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036066136 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942668 | Leslie Michelle Johnson | Licensed Practical Nurse | 11909 Elmgrove Cir, Cincinnati, OH 45240-1525 | 2019-03-25 |
| 1114414737 | Leslie Diana Johnson | Nurse Practitioner | 4100 Township Road 177, Rayland, OH 43943-7931 | 2018-04-19 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1093181257 | Leslie Ann Johnson | Speech-Language Pathologist | 13176 W Persimmon Ln Ste 120, Boise, ID 83713-5027 | 2015-08-11 |
| 1235537523 | Leslie Johnson | Counselor | 5585 Pershing Ave, Saint Louis, MO 63112-4621 | 2014-12-18 |
| 1902208218 | Leslie Janelle Johnson | Pharmacist | 3630 Us Highway 41 W, Marquette, MI 49855 | 2014-09-17 |
| 1124456769 | Leslie Nicole Johnson | Non-emergency Medical Transport (VAN) | 9075 Fulton Ln, Cordova, TN 38016-5376 | 2013-10-16 |
| 1467649046 | Leslie Lynelle Johnson | Physical Therapist | 8121 E Highway 69, Kansas City, MO 64119-3186 | 2007-09-27 |
| 1073666939 | Leslie A Johnson | Pharmacist | 5787 Hwy 64, Parkin, AR 72373-9003 | 2007-01-22 |
| 1003900531 | Leslie G. Johnson | Dentist | 1355 Riverside Ave., Unit D, Fort Collins, CO 80524 | 2006-10-02 |
| Street Address |
6339 N BIG HOLLOW RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261872 | Allen Lynn Neese | Pediatrics | 6339 N Big Hollow Rd, Peoria, IL 61615-2908 | 2006-01-28 |
| 1356826309 | Amanda Lynn Lahood | Nurse Practitioner | 6339 N Big Hollow Rd, Peoria, IL 61615-2907 | 2018-09-26 |
| 1053831214 | Holly Vannitamby | Internal Medicine | 6339 N Big Hollow Rd, Peoria, IL 61615-2907 | 2017-06-20 |
| 1992829485 | Cardinal Medical Group, Ltd. | Clinic/Center | 6339 N Big Hollow Rd, Peoria, IL 61615-2907 | 2007-03-19 |
| 1205928397 | Henry Anthony San German | Family Medicine | 6339 N Big Hollow Rd, Peoria, IL 61615-2907 | 2006-09-28 |
| 1306819289 | Heather Lee Doebler Mccarthy | Pediatrics | 6339 N Big Hollow Rd, Peoria, IL 61615-2908 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621739 | Titan Medical LLC | Family Medicine | 13660 N 94th Dr Ste D-3, Peoria, AZ 85381-4836 | 2020-05-27 |
| 1619516788 | Michelle Martin | Family Medicine | 15182 N 75th Ave # Uint180, Peoria, AZ 85381-4722 | 2020-01-06 |
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1992236848 | Agape Primary Care, Pllc | Family Medicine | 8380 W Emile Zola Ave # 5178, Peoria, AZ 85381-4811 | 2017-03-22 |
| 1043666910 | Honorhealth Medical Group, LLC | Family Medicine | 10230 W Happy Valley Rd, Ste100, Peoria, AZ 85383-2795 | 2016-05-10 |
| 1598160863 | Healthcare Partners Arizona Medical Group LLC | Family Medicine | 16155 N 83rd Ave Ofc, #201, Peoria, AZ 85382-5815 | 2014-10-29 |
| 1164856506 | Charlotte Christie Clayton | Family Medicine | 7505 N Edgewild Dr, Peoria, IL 61614-2117 | 2013-08-21 |
| 1770824112 | Dean Robert Bordeaux | Family Medicine | 7614 N Patton Ln, Peoria, IL 61614-1828 | 2013-03-11 |
| 1467731935 | James Austin Shane Jr. | Family Medicine | 18821 N 94th Ave, Peoria, AZ 85382-3697 | 2011-08-15 |
| Find all providers in PEORIA | ||||
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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.