DR. JULIE D. LEYZOREK HARE (NPI# 1104113190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104113190 |
| Entity Type | Individual |
| Full Name | DR. JULIE D. LEYZOREK HARE |
| Other Name | JULIE D HARE |
| Credential | MD |
| Practice Address |
150 Duncan Road Buckeye WV 24924-9037 |
| Practice Telephone | 3047997400 |
| Practice Fax Number | 3047992276 |
| Mailing Telephone | 3047997400 |
| Mailing Fax Number | 3047992276 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
25895 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FAMILY MEDICINE | 207Q00000X | 01 |
| Street Address |
150 DUNCAN ROAD |
| City | BUCKEYE |
| State | WV |
| Zip Code | 24924-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952565 | Terry Linn Thomas | Emergency Medicine | 150 Duncan Road, Buckeye, WV 24924-9037 | 2005-06-16 |
| 1487901765 | Donna Lidel Burley | Nurse Practitioner | 150 Duncan Road, Buckeye, WV 24924-9037 | 2012-08-06 |
| 1588827661 | Heather Mangels Pace | Speech-Language Pathologist | 150 Duncan Road, Buckeye, WV 24924-9037 | 2008-07-08 |
| 1447313762 | Isaac G Alexis | General Practice | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-18 |
| 1063572717 | Teresa Moore Wagner | Registered Nurse | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-11 |
| 1851489157 | Frankie A. Puckett | Surgery | 150 Duncan Road, Buckeye, WV 24924-9643 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194173823 | Zachary Grimes | Student in an Organized Health Care Education/Training Program | 44 Bardstown Ln, Buckeye, WV 24924 | 2016-06-03 |
| 1215963806 | Luis E Soriano | Family Medicine | Duncan Road, Buckeye, WV 24924 | 2006-06-24 |
| 1346523206 | Pocahontas Memorial Hospital | Clinic/Center | 150 Duncan Rd, Buckeye, WV 24924 | 2011-09-27 |
| 1871534958 | Pocahontas Memorial Hospital | General Acute Care Hospital | 150 Duncan Rd, Buckeye, WV 24924 | 2006-06-09 |
| 1992782031 | Mark Duff | Emergency Medicine | 150 Duncan Rd, Buckeye, WV 24924 | 2005-12-29 |
| 1669996112 | Melody Leighton Walkup | Physical Therapist | 1112 Spruce Flat Rd, Buckeye, WV 24924-9010 | 2017-07-26 |
| 1093704678 | John M Johnson | General Practice | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2005-10-17 |
| 1164061404 | Christopher Ryan Reece | Nurse Practitioner | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2020-01-03 |
| 1376038489 | Katherine Mae Pugh | Occupational Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2018-06-30 |
| 1699289884 | Melanie Kay Taylor | Physical Therapist | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2017-11-27 |
| Find all providers in zip 24924 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995734 | Sarah Nicole Stanley | Family Medicine | 31 Sandlewood Dr, Beckley, WV 25801-2358 | 2020-09-07 |
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1316438773 | Road To Recovery, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271 | 2018-05-22 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1285013896 | Doctors Specialty Care | Family Medicine | 27 Trovato St, Suite Number 103, Bridgeport, WV 26330-7002 | 2015-05-28 |
| 1316354574 | New Lifeclinics Inc | Family Medicine | 3471 Ohio River Rd, Point Pleasant, WV 25550-4401 | 2014-07-18 |
| 1861829947 | Hamada E Mahmoud | Family Medicine | 5505 Us Route 60 East, Suite 175, Huntington, WV 25705-2058 | 2013-10-03 |
| 1972943785 | Phillip Bradley Hall | Family Medicine | 680 Genesis Blvd, Ste 201, Bridgeport, WV 26330-9135 | 2013-06-26 |
| 1336413335 | Rodney Michael Simpkins | Family Medicine | 131 Moorefield Pl, Scott Depot, WV 25560-9565 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.