Kathleen B Vickroy (NPI# 1831677921, PAC ID# 7012268519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831677921 |
| PAC ID by PECOS | 7012268519 |
| Professional Enrollment ID | I20180921002724 |
| Full Name | Kathleen B Vickroy |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Address |
200 S Cody Rd Genesis Health Group Leclaire IA 52753-9579 |
| Phone Number | 5634219740 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214841436 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 210 W 53rd St, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| 210 W 53rd St, Genesis Health Group, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| 200 S Cody Rd, Genesis Health Group, Leclaire, IA 52753-9579 | 5634219740 | GENESIS HEALTH SYSTEM |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Physicians | 298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April R Lanning | Family Medicine | Genesis Health System | 2140 53rd Ave, Bettendorf, IA 52722-6279 |
| Andrea L Lingenfelter | Nurse Practitioner | Genesis Health System | 1351 W Central Park, Davenport, IA 52804-1889 |
| Daniel L Larson | Psychologist, Clinical | Genesis Health System | 4455 E 56th St, Genesis Psychology Associates, Davenport, IA 52807-2995 |
| Jennifer J Hook | Nurse Practitioner | Genesis Health System | 202 Picard St, Alpha, IL 61413-5023 |
| Elliot M Galey | Family Medicine | Genesis Health System | 221 Main Ave, Clinton, IA 52732-2241 |
| Reena Kunreddy | Internal Medicine | Genesis Health System | 3900 28th Ave Dr, Suite 200, Moline, IL 61265 |
| Babuji R Gandra | Psychiatry | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| Clare B Harney | Obstetrics/gynecology | Genesis Health System | 1510 E Rusholme St, Davenport, IA 52803-2463 |
| Kerry B Miller | Nurse Practitioner | Genesis Health System | 1345 W Central Park, Genesis Health Group, Davenport, IA 52804-1844 |
| Morgan Ryan | Nurse Practitioner | Genesis Health System | 1236 E Rusholme St, 150 Genesis Health Group, Davenport, IA 52803-2433 |
| Street Address |
200 S CODY RD GENESIS HEALTH GROUP |
| City | LECLAIRE |
| State | IA |
| Zip | 52753-9579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles A Smith | Family Medicine | Genesis Health System | 200 S Cody Rd, Genesis Health Group, Leclaire, IA 52753-9579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay B Kitzman | Chiropractic | 1101 Canal Shore Swdr, Leclaire, IA 52753-7602 | |
| Lisa A Nix | Optometry | 126 S Cody Rd, Leclaire, IA 52753-9236 | |
| Crystal Dawn Buesing | Chiropractic | 419 N Cody Rd, Dr. Crystal's Chiropractic Care, Le Claire, IA 52753-9537 | |
| Courtney L Kautz | Chiropractic | 700 Eagle Ridge Rd, Le Claire, IA 52753-9593 | |
| Ronald G Shepherd | Chiropractic | 700 Eagle Ridge Rd, Shepherd Chiropractic Clinic, Le Claire, IA 52753-9593 |
| City | LECLAIRE |
| Zip Code | 52753 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LECLAIRE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen B Vickroy.
| 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.