CHARLES J. LEIDNER (NPI# 1003889866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003889866 |
| Entity Type | Individual |
| Full Name | CHARLES J. LEIDNER |
| Credential | MD |
| Practice Address |
55 Highland Avuene Suite 201 Salem MA 01970 |
| Mailing Address |
12 Phillips Beach Avenue Swampscott MA 01907 |
| Practice Telephone | 9787456601 |
| Practice Fax Number | 9787444872 |
| Mailing Telephone | 7815991915 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2008-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 41165 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLON | 36228 | 01 |
| MA | BLUE SHIELD | D25068 | 01 |
| MA | UNITED HEALTH CARE | 1000022 | 01 |
| MA | AETNA | 2084278 | 01 |
| MA | HARVARD PILGRIM | 19337 | 01 |
| MA | TUFTS | 041165 | 01 |
| MA | NEIGHBORHOOD HEALTH | 0012295 | 01 |
| MA | 2054434 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144558180 | Charles Richard Leidner | Specialist | 3141 N Mcmullen Booth Rd, Clearwater, FL 33761-2035 | 2009-12-03 |
| Street Address |
55 HIGHLAND AVUENE SUITE 201 |
| City | SALEM |
| State | MA |
| Zip Code | 01970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1013286822 | Lawrence Thomas Eschelman | Otolaryngology | 3585 Cherokee Dr S, Salem, OR 97302-9712 | 2011-12-22 |
| 1538462189 | Jon Bruce Hagadorn | Otolaryngology | 3136 W Club Dr, Salem, VA 24153-6823 | 2010-12-20 |
| 1093821969 | Masud Iqbal | Otolaryngology | 156 Route 45, Salem, NJ 08079 | 2006-08-22 |
| 1851377857 | Charles David Crouse II | Otolaryngology | 1524 Apperson Dr, Salem, VA 24153-7219 | 2005-12-21 |
| 1770588949 | Douglas Skarada | Otolaryngology | 340 Vista Ave Se Ste 100, Salem, OR 97302-4546 | 2005-06-15 |
| 1407850852 | John Donovan | Otolaryngology | 3099 River Rd S, Salem, OR 97302-9754 | 2005-06-13 |
| 1043874696 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se Ste 100, Salem, OR 97302-4546 | 2019-04-30 |
| 1013278654 | Jared Hiebert | Otolaryngology | 3099 River Rd S Ste 150, Salem, OR 97302-9754 | 2012-05-30 |
| 1184956765 | Roanoke Valley Ear, Nose, and Throat, P.C. | Otolaryngology | 1524 Apperson Dr, Salem, VA 24153-7219 | 2010-02-05 |
| Find all providers in SALEM | ||||
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| 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.