MR. LEONARD GREGORY ALLEN (NPI# 1114986759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114986759 |
| Entity Type | Individual |
| Full Name | MR. LEONARD GREGORY ALLEN |
| Credential | P.A.C. |
| Practice Address |
4207 Lake Boone Trl Suite 200 Raleigh NC 27607-6520 |
| Practice Telephone | 9198810160 |
| Practice Fax Number | 9198810887 |
| Mailing Telephone | 9198810160 |
| Mailing Fax Number | 9198810887 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 101655 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101665 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UHC | 231662 | 01 |
| NC | AETNA | 3016840 | 01 |
| NC | 890190E | 05 | |
| NC | BCBS GROUP | 0190E | 01 |
| NC | MEDCOST | 97582 | 01 |
| NC | WELLPATH | 313454 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314027 | Leonard Franklin Allen | Dentist | 2422 Double Churches Rd, Columbus, GA 31909-2741 | 2005-11-25 |
| 1427534460 | Leonard Hamilton Allen IIi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-12 |
| 1750876520 | Leonard Allen | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-06-25 |
| Street Address |
4207 LAKE BOONE TRL SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750356192 | Daniel Wayne Ingram | Physician Assistant | 4207 Lake Boone Trl, Raleigh, NC 27607 | 2006-02-21 |
| 1316445554 | Jillian Vari | Physician Assistant | 4207 Lake Boone Trl, Raleigh, NC 27607-6684 | 2018-01-23 |
| 1659700144 | Rex Hospital Inc | Neurological Surgery | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2013-11-05 |
| 1134464597 | Rex Physicians LLC | Neurological Surgery | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2012-12-11 |
| 1902189632 | Katelyn E Maurer | Physician Assistant | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2011-09-20 |
| 1942524129 | Progress Weight Loss, PC | Surgery | 4207 Lake Boone Trl, Raleigh, NC 27607-6684 | 2010-03-17 |
| 1891025276 | Dana Forcinito | Dietitian, Registered | 4207 Lake Boone Trl, Suite 210, Raleigh, NC 27607-6684 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285195768 | Rebecca Lee Hill | Physician Assistant | 3100 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8002 | 2019-03-27 |
| 1306300520 | Lanlen Luke Venable | Physician Assistant | 4414 Lake Boone Trl Ste 502, Raleigh, NC 27607-7521 | 2019-01-23 |
| 1942723788 | Elizabeth Grace Carmen Lee Macarthur | Physician Assistant | 10211 Alm St Ste 1200, Raleigh, NC 27617-8221 | 2017-07-24 |
| 1164969168 | Grace Klinic, LLC | Physician Assistant | 6516 Falls of Neuse Rd, 110, Raleigh, NC 27615-6847 | 2017-01-27 |
| 1982075073 | David Zuckerman | Physician Assistant | 1311 E Millbrook Rd Ofc, Raleigh, NC 27609-5473 | 2015-10-14 |
| 1649570060 | Jeffrey M Rosowski | Physician Assistant | 3320 Executive Dr Ste 222, Raleigh, NC 27609-7445 | 2010-11-02 |
| 1023332020 | Brooke Register Lilley | Physician Assistant | 6500 Creedmoor Rd., Raleigh, NC 27613 | 2010-03-18 |
| 1548582620 | Melanie Fox Langston | Physician Assistant | 7870 Alexander Promenade Pl, Raleigh, NC 27617-7350 | 2010-02-17 |
| 1184863086 | Lisa Marie Hill | Physician Assistant | 2709 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6462 | 2009-02-17 |
| 1538248125 | Harry David Kurtz | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2006-11-03 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on MR. LEONARD GREGORY ALLEN.
| 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.