BRIAN TYLER LEACH


Address: 6120 Wanda Ave, Saint Louis, MO 63116-2225
Phone: 6362344277

BRIAN TYLER LEACH (NPI# 1003373564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003373564
Entity Type Individual
Full Name BRIAN TYLER LEACH
Practice Address 6120 Wanda Ave
Saint Louis
MO 63116-2225
Practice Telephone 6362344277
Mailing Telephone 6362344277
Enumeration Date 2019-02-20
Last Update Date 2019-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers BRIAN LEACH

NPI Name Taxonomy Address Enumeration
1528096831 Brian Curtis Leach Dermatology 135 Rutledge Avenue, Dept of Dermatology & Dermatologic Surgery, Charleston, SC 29425 2006-06-28
1891321600 Brian Clifford Leach Pharmacist 1215 E Superior St, Duluth, MN 55802-2218 2020-03-13
1104038074 Brian K. Leach Dentist 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 2007-05-04

Office Location

Street Address 6120 WANDA AVE
City SAINT LOUIS
State MO
Zip Code 63116-2225

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245713395 Trinity Cares LLC In Home Supportive Care 4343 Osceola, St Louis, MO 63116 2018-09-13
1437689213 Veronica Leigh Delgado Social Worker 3430 Grace Ave, St. Louis, MO 63116 2017-06-14
1366993719 Bryan Allgeier Dentist 3941 Bowen St, Saint Louis, MO 63116 2016-10-20
1639426620 Candice Daily Home Health 6824 Salzburger Ave, Saint Louis, MO 63116 2012-08-08
1104001304 America's Best Contacts & Eyeglasses Technician/Technologist 3573 Bamberger Ave., St. Louis, MO 63116 2008-01-07
1053533018 Ryan Wesley Riney Pharmacist 3865 Gravois, St. Louis, MO 63116 2007-05-02
1508983040 Marc Robert Boivin Dentist 4181 Loughborough Ave, St Louis, MO 63116 2007-03-22
1750454484 Hector Ocampo Pineda Internal Medicine 4460 Chippewa St, St Louis, MO 63116 2006-11-17
1003926130 Ann Heath Pietroburgo Occupational Therapist 4600 Chippewa, Ste F, St Louis, MO 63116 2006-08-30
1891216776 Sheila Edwards Licensed Practical Nurse 4066 Dunnica Ave, Saint Louis, MO 63116 2017-06-30
Find all providers in zip 63116

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845908 Ali Hamzehloo Student in an Organized Health Care Education/Training Program 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 2020-09-10
1114539137 Brooke Marissa Tubbs Student in an Organized Health Care Education/Training Program 5135 Redstone Rd, Saint Louis, MI 48880-9602 2020-08-20
1508475245 Irfan Yasin Student in an Organized Health Care Education/Training Program 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 2020-07-29
1457978231 Katherine Coates Student in an Organized Health Care Education/Training Program 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 2020-06-29
1184248437 Catherine Gaines Student in an Organized Health Care Education/Training Program 362 S Maple Ave, Saint Louis, MO 63119-3824 2020-06-02
1922620947 Nicole Werner Student in an Organized Health Care Education/Training Program 9669 Amona Ct, Saint Louis, MO 63123-6535 2020-05-13
1043831787 Reed Welch Student in an Organized Health Care Education/Training Program 1501 Fairmount Ave, Saint Louis, MO 63139-3628 2020-05-05
1437779097 Victoria Emanuelson Student in an Organized Health Care Education/Training Program 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 2020-04-23
1831727502 Kiran Ashok Patel Student in an Organized Health Care Education/Training Program 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 2020-03-30
1699301507 Morgann Madill Student in an Organized Health Care Education/Training Program 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 2020-03-23
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63116

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Dataset Information

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.

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