LESLIE S CLEMENSEN (NPI# 1073075164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073075164 |
| Entity Type | Individual |
| Full Name | LESLIE S CLEMENSEN |
| Credential | MD |
| Practice Address |
7045 Lighthouse Way Perrysburg OH 43551 |
| Mailing Address |
Po Box 72030 Cleveland OH 44192-0002 |
| Practice Telephone | 4198736836 |
| Practice Fax Number | 4198736837 |
| Mailing Telephone | 4194795893 |
| Mailing Fax Number | 4194795878 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| 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 | 57.247856 | OH | Student, Health Care |
| Street Address |
7045 LIGHTHOUSE WAY |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962455014 | Emmanuel Jean-louis | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2006-05-18 |
| 1023646619 | Matthew George Lind Hogan | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-30 |
| 1457989279 | Suchitra Nair | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-28 |
| 1083241228 | Ian Stephon Thomas | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-26 |
| 1427685858 | Shikha Mistry | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1578190963 | Valeriya Korchina | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1821625252 | Elizabeth Anne Barga | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1770046872 | Joseph C King | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551 | 2019-04-08 |
| 1215490313 | Nicole D Sheehan | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551 | 2019-04-08 |
| 1780146878 | Jessica R Ickes | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551 | 2019-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| 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 |
|---|---|---|---|---|
| 1518521822 | Luke Alan Mugge | Student in an Organized Health Care Education/Training Program | 28032 White Rd, Perrysburg, OH 43551-2946 | 2019-04-23 |
| 1568991578 | Sara Katherine Stachura | Student in an Organized Health Care Education/Training Program | 26065 W River Rd, Perrysburg, OH 43551-9790 | 2017-06-05 |
| 1962455014 | Emmanuel Jean-louis | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2006-05-18 |
| 1023646619 | Matthew George Lind Hogan | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-30 |
| 1457989279 | Suchitra Nair | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-28 |
| 1083241228 | Ian Stephon Thomas | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-26 |
| 1427685858 | Shikha Mistry | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1578190963 | Valeriya Korchina | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1821625252 | Elizabeth Anne Barga | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551-7000 | 2020-03-25 |
| 1770046872 | Joseph C King | Student in an Organized Health Care Education/Training Program | 7045 Lighthouse Way, Perrysburg, OH 43551 | 2019-04-08 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.