RACHELLE M. LEACH (NPI# 1922023936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922023936 |
| Entity Type | Individual |
| Full Name | RACHELLE M. LEACH |
| Credential | MD |
| Practice Address |
211 S 3rd St Belleville IL 62220-1915 |
| Mailing Address |
Po Box 8882 Fort Worth TX 76124-0882 |
| Practice Telephone | 6182342120 |
| Mailing Telephone | 8174514208 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-106830 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 08232204 | 01 |
| IL | RAILROAD MEDICARE | P00339436 | 01 |
| IL | BLUECROSS BLUE SHIELD | 0008232053 | 01 |
| IL | 036106830 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 06032182 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 08232205 | 01 |
| Street Address |
211 S 3RD ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397319 | Ravi Kumar | Specialist | 211 S 3rd St, Belleville, IL 62220-1915 | 2005-06-21 |
| 1720590045 | Cep America - Illinois Snf, LLP | Internal Medicine | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-10-26 |
| 1336670454 | Therese Krause | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2017-03-21 |
| 1578920591 | Paul Lee | Registered Nurse | 211 S 3rd St, Operating Room, Belleville, IL 62220-1915 | 2016-01-21 |
| 1417326430 | Lynlee Barnhart | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-09-21 |
| 1518346634 | Jared Sheley | Pharmacist | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-05-21 |
| 1952792665 | Tracie Kloeppel | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2015-02-17 |
| 1184022352 | Kristopher Clements | Nurse Anesthetist, Certified Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-12-19 |
| 1518362946 | Amanda Patterson | Nurse Practitioner | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-10-28 |
| 1194124032 | Sharon Faye Haege | Registered Nurse | 211 S 3rd St, Belleville, IL 62220-1915 | 2014-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750525432 | Raafat Barsoom | Emergency Medicine | 103 Dewitt Ave, 1, Belleville, NJ 07109-2500 | 2009-04-27 |
| 1861654774 | Bonham Emergency Medicine LLC | Emergency Medicine | 76 Carlyle Plaza Dr, Belleville, IL 62221-6677 | 2008-07-01 |
| 1194912295 | Vincent Paul Canabal | Emergency Medicine | 46 New St, Belleville, NJ 07109-2006 | 2007-10-02 |
| 1093817355 | Michelle M Vandorn | Emergency Medicine | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2006-09-05 |
| 1093759235 | Allison Lam | Emergency Medicine | Clara Maass Medical Center, 1 Clara Maass Drive, Belleville, NJ 07109 | 2006-06-16 |
| 1609858117 | Terry Geurkink | Emergency Medicine | 1675 Bartlett Ct, Belleville, WI 53508-9712 | 2005-11-18 |
| 1487004792 | Emily Halldorson Bakosi | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2016-06-16 |
| 1184007858 | Noah Futterman | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2015-06-30 |
| 1629463856 | Joanne Ahn | Emergency Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2015-04-03 |
| 1609289636 | Michael Jin Kim | Emergency Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2014-06-06 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.