DR. NICHOLAS G LEZAMA (NPI# 1619958170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958170 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS G LEZAMA |
| Credential | MD |
| Practice Address |
901 Thornbury Pl O Fallon IL 62269-6811 |
| Practice Telephone | 6182295220 |
| Mailing Telephone | 6182295220 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
77082 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
901 THORNBURY PL |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-6811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245795293 | Anthony William Kitslaar | Preventive Medicine | 1250 Executive Pl Ste 403, Geneva, IL 60134-2482 | 2019-02-04 |
| 1700020302 | Mathew Francis Dumstorf | Preventive Medicine | 2300 E Devon Ave, Suite 439, Des Plaines, IL 60018-4696 | 2009-04-27 |
| 1407030596 | Ruth Martens | Preventive Medicine | 1913 Gladstone Dr, Wheaton, IL 60187-8123 | 2007-12-25 |
| 1760814040 | Marvin William Jackson | Preventive Medicine | 2300 E Devon Ave, Suite 427, Des Plaines, IL 60018-4696 | 2013-08-08 |
| 1013173137 | Frederick Allen Hauser Jr. | Preventive Medicine | Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 | 2008-07-29 |
| 1841345865 | Patrick David Lowry | Preventive Medicine | 203 W Losey St, Bldg 1700, Rm 1600, Scott Afb, IL 62225-5212 | 2007-01-23 |
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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.