Leanne H Deneal, PA-C
Individual provider Active NPI Physician Assistant · Harrisburg, IL
NPI 1932269701 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1932269701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 28 Veteran'S Drive
Harrisburg, IL 62946 - Phone
- (618) 993-0404
- Fax
- (618) 993-1717
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Group LLC | Past | Accepting new patients | |
| Pediatric Group LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11869/brand/1/csg/1/fhir/r4
- leanne.deneal.1@11869.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085000461 | IL | |
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
28 Veteran'S Drive
Harrisburg, IL 62946
Mailing address
3412 Office Park Drive
Marion, IL 62959
Phone (618) 993-0404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085000461 | Medicaid | IL |
Other names
- Ms. Leanne F Hopkins
Other providers in Harrisburg, IL
- Deaconess Illinois Clinic, Inc
- Deaconess Illinois Clinic, Inc
- Deaconess Illinois Specialty Clinic, Inc.
- Deaconess Illinois Specialty Clinic, Inc.
- Deaconess Regional Healthcare Services Illinois Inc
- D. Tyler Dennison
- Moises B. Domingo
- Dr. Michael J. Gearing D.D.S. Inc
- Egyptian Health Department
- Egyptian Health Department
All providers in Harrisburg, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.