DR. DAVID BRYAN LEACH (NPI# 1043379944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043379944 |
| Entity Type | Individual |
| Full Name | DR. DAVID BRYAN LEACH |
| Credential | M.D |
| Practice Address |
2500 W A St Suite 202 Moscow ID 83843-6000 |
| Practice Telephone | 2088824662 |
| Practice Fax Number | 2088836557 |
| Mailing Telephone | 2088824662 |
| Mailing Fax Number | 2088836557 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M8044 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805779000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295996643 | David Mark Leach | Psychiatry & Neurology | 1426 Ridgewood Ln, Newtown, PA 18940-3733 | 2008-06-18 |
| 1417169061 | David Alan Leach | Dentist | 7533 State Road, Cincinnati, OH 45255-2438 | 2007-05-04 |
| 1518187855 | David Patrick Leach | Counselor | 800 Naples Ave, Cayce, SC 29033-3608 | 2007-04-27 |
| 1336275742 | David Wesley Leach | Pharmacist | 192 Potomac Ln, Stoystown, PA 15563-9034 | 2007-02-27 |
| 1588217384 | David Keith Leach | Pharmacist | 679 W Washington St, Monticello, GA 31064-1371 | 2019-07-20 |
| 1568454320 | David H Leach | Ophthalmology | 3000 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6308 | 2005-08-18 |
| Street Address |
2500 W A ST SUITE 202 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760492656 | Charles A Jacobson | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| 1013359546 | Julia W Cheng | Audiologist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2013-07-25 |
| 1245518000 | Michelle Lynn Gorton | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2011-07-28 |
| 1558503581 | Sheri Danielle Erwin | Nurse Practitioner | 2500 W A St, Moscow, ID 83843-6000 | 2009-04-06 |
| 1720227010 | Katherine Michele Baughman Gleason | Optometrist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2009-02-11 |
| 1598929796 | Shawn Charles Richards | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2008-07-16 |
| 1144376617 | Charles A Jacobson Md | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2007-01-26 |
| 1407915325 | Clearview Eye Clinic Ltd | Optometrist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1407921950 | Monty J Boydston | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2006-11-21 |
| 1740290642 | Steven E Pennington | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885558 | Moscow Family Eye Care Inc. | Ophthalmology | 1205 E 6th St, Moscow, ID 83843-3705 | 2013-08-13 |
| 1962728725 | Alyssa Susann Hoehn | Ophthalmology | 1205 E 6th St, Moscow, ID 83843-3705 | 2010-04-19 |
| 1598929796 | Shawn Charles Richards | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1255678546 | John S Kundrat, Md Pa | Ophthalmology | 3316 4th St, Bldg 3, Lewiston, ID 83501-4405 | 2013-01-07 |
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1861727323 | Kyle Nathaniel Klingler | Ophthalmology | 1415 Parkview Dr., Twin Falls, ID 83301-3250 | 2009-10-15 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1881894517 | Joshua R Fullmer Md Pllc | Ophthalmology | 381 E 4th N Ste 100, Rexburg, ID 83440-1684 | 2007-07-20 |
| 1093911133 | Eye Clinic of Idaho Falls,pa | Ophthalmology | 530 S Holmes Ave, Idaho Falls, ID 83401-4751 | 2007-06-25 |
| 1942345228 | Alan Wallace Mcinnes Jr. | Ophthalmology | 323 E Riverside Dr, Suite 136, Eagle, Eagle, ID 83616-6865 | 2007-02-21 |
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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.