Kleven H Israelsen (NPI# 1740232560, PAC ID# 3274581541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1740232560 |
| PAC ID by PECOS | 3274581541 |
| Professional Enrollment ID | I20050104000716 |
| Full Name | Kleven H Israelsen |
| Organization Legal Name | INTEGRITAS EMERGENCY PHYSICIAN SERVICES LLC |
| Address |
8 Doctors Pkwy Mount Vernon IL 62864-6224 |
| Phone Number | 6182445500 |
| Gender | M |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7113167446 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141327 | WABASH GENERAL HOSPITAL 1 |
| Address | Phone | Organization |
|---|---|---|
| 1418 College Dr, Mount Carmel, IL 62863-2638 | 6182628621 | WABASH GENERAL HOSPITAL DISTRICT |
| 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 | 6182445500 | INTEGRITAS EMERGENCY PHYSICIAN SERVICES LLC |
| Organization Legal Name | INTEGRITAS EMERGENCY PHYSICIAN SERVICES LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erhime T Badejo | Family Medicine | Integritas Emergency Physician Services LLC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Ladislav Lukacsik | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| James E Probst Jr. | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| George R Grant | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Gaurav Nigam | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Jon R Hays | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Randall R Feather | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Byron R Williamson | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| John S Barbee | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Street Address |
8 DOCTORS PKWY |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-6224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladislav Lukacsik | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| James E Probst Jr. | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| George R Grant | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Gaurav Nigam | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Jon R Hays | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Randall R Feather | Family Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Byron R Williamson | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| John S Barbee | Emergency Medicine | Integritas Emergency Physician Services LLC | 8 Doctors Pkwy, Mount Vernon, IL 62864-6224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MOUNT VERNON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kleven H Israelsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.