LEAH DICKSTEIN (NPI# 1093102022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093102022 |
| Entity Type | Individual |
| Full Name | LEAH DICKSTEIN |
| Other Name | LEAH GERSHEN |
| Credential | MD |
| Practice Address |
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1673 |
| Mailing Address |
100 Harborview Dr Unit 1510 Baltimore MD 21230-5415 |
| Practice Telephone | 2604256780 |
| Practice Fax Number | 2604256789 |
| Mailing Telephone | 2012809720 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01084757A | IN | Allopathic & Osteopathic Physicians |
| N | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
A161457 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4940 Eastern Ave, Randy Barker Medical Group, 301 Building, Baltimore, MD 212242735 | 4105503350 | 4105501094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165822 | Leah Joan Dickstein | Psychiatry & Neurology | 35 Walden St, Apt 2g, Cambridge, MA 02140-2047 | 2008-02-12 |
| Street Address |
11104 PARKVIEW CIRCLE DR STE 110 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681254 | Frances R. Goff | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1164938007 | Brandon Emry | Registered Nurse | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2017-12-14 |
| 1750892675 | Curtis Lake | Physician Assistant | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2017-10-18 |
| 1033651260 | Caitlin Camp | Registered Nurse | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 | 2016-11-04 |
| 1699196519 | Erin Miles | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-12-19 |
| 1164860052 | Jacob Thomas Lutz | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-06-13 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1275806663 | Vivian L Appiarius | Nurse Practitioner | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-02-15 |
| 1225321664 | Stephanie Reed Falatko | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 | 2011-05-18 |
| 1659684488 | Shamir Haji | Internal Medicine | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480800 | Bhupendra K Shah | Psychiatry & Neurology | 2452 Lake Ave, Fort Wayne, IN 46805-5406 | 2005-07-12 |
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1508863051 | Thomas M. Banas | Psychiatry & Neurology | 7956 West Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2005-06-30 |
| 1316366735 | Christopher Vachon | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2014-04-14 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1992091656 | Natalie Cornay Manalo | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-06-21 |
| 1083828719 | Marlene Clare Bultemeyer | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-10 |
| 1306050257 | John S. Pidgeon | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2007-05-10 |
| 1144311994 | Hisanori Hasegawa | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2006-09-27 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on LEAH DICKSTEIN.
| 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.