DR. LEIGH MAE JOANNE GISELE ROSA PROVENCHER (NPI# 1063949741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063949741 |
| Entity Type | Individual |
| Full Name | DR. LEIGH MAE JOANNE GISELE ROSA PROVENCHER |
| Credential | M.D. |
| Practice Address |
Msc10 5550 1 University of New Mexico Albuquerque NM 87131-0001 |
| Practice Telephone | 5052724661 |
| Practice Fax Number | 5052724601 |
| Mailing Telephone | 5052724661 |
| Mailing Fax Number | 5052724601 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | RS2020-0448 | NM | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6550 Fannin, Houston Methodist Hospital, Sm 1001, Houston, TX 77030 | 7134415114 | 7137903023 |
| Street Address |
MSC10 5550 1 UNIVERSITY OF NEW MEXICO |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1386263796 | Nichole Blair Shumway | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 83713 | 2020-04-15 |
| 1215566138 | Zachary Sam Bruss | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-02 |
| 1467080291 | Mario Flores | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-03-28 |
| 1144886359 | Nicole Lee | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-05-13 |
| 1811459043 | Kari Jordan Rezac | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-04-05 |
| 1831650886 | Courtney Diprisco Splaine | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-03-30 |
| 1184112526 | Cyrus Omid Abbasi | Student in an Organized Health Care Education/Training Program | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2018-05-01 |
| 1629422704 | Surasri Prapasiri | Internal Medicine | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-14 |
| 1528420676 | Rebecca B Richardson | Hospitalist | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0002 | 2016-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1447869144 | Tarab Mansoor | Student in an Organized Health Care Education/Training Program | Msc10 5620 1 University of New Mexico Albuquerque Nm, Albuquerque, NM 87131-0001 | 2020-07-28 |
| 1306454392 | Yusra Azhar | Student in an Organized Health Care Education/Training Program | Msc 5615 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-16 |
| 1154949360 | Muhammad Abdur Raafey | Student in an Organized Health Care Education/Training Program | Msc11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-14 |
| 1194347344 | Waseem Zechariah Wagrees | Student in an Organized Health Care Education/Training Program | Department of Neurology Msc 105620, University of New Mexico, Albuquerque, NM 87131-0001 | 2020-05-11 |
| 1508487562 | Jonathan G Swope | Student in an Organized Health Care Education/Training Program | Msc (aegd) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-30 |
| 1619598844 | Syed Faraz Faraz Kazim | Student in an Organized Health Care Education/Training Program | Department of Neurosurgery, Msc 10-5615, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001 | 2020-04-28 |
| 1700407939 | Ravi Soni | Student in an Organized Health Care Education/Training Program | Department of Neurology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
Please comment or provide details below to improve the information on DR. LEIGH MAE JOANNE GISELE ROSA PROVENCHER.
| 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.