METTISA R. MCLEOD MD – NPI #1235245481
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

METTISA MCLEOD is a physician located in COLLINSVILLE, IL. NPPES has assigned the NPI number 1235245481 to METTISA MCLEOD on August 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 11 years ago on Jun 05, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for METTISA MCLEOD below.

NPI Profile for
METTISA R. MCLEOD

NPI Number
1235245481
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
METTISA R. MCLEOD
Credentials
MD
Primary location
501 BELT LINE RD
SUITE 20-D
COLLINSVILLE, IL 62234-4410
Phone: (618) 343-6005 Fax: (618) 343-9114
Mailing address
4500 MEMORIAL DRIVE
MEMORIAL HOSPITAL CREDENTIALING DEPT
BELLEVILLE, IL 62226-4061
Phone: (618) 257-4644 Fax: (618) 257-6946
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036113800
207QS0010X
- Family Medicine / Sports Medicine
IL 036113800
207QG0300X
- Family Medicine / Geriatric Medicine
IL 036113800
207QA0505X
- Family Medicine / Adult Medicine
IL 036113800
207QA0000X
- Family Medicine / Adolescent Medicine
IL 036113800

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.