KEVIN LUKE LEADHOLM (NPI# 1124445069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124445069 |
| Entity Type | Individual |
| Full Name | KEVIN LUKE LEADHOLM |
| Credential | MD |
| Practice Address |
41 Mall Road Lahey Hospital & Medical Ctr Burlington MA 01805-1473 |
| Mailing Address |
41 Mall Road Lahey Hospital & Medical Ctr Burlington MA 01805-0001 |
| Practice Telephone | (781) 744-3839 |
| Practice Fax Number | 7817441597 |
| Mailing Telephone | (781) 744-3839 |
| Mailing Fax Number | 7817441597 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2017-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 269868 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
41 MALL ROAD LAHEY HOSPITAL & MEDICAL CTR |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437391125 | David A Kleiman | Surgery | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-4870 | 2009-03-27 |
| 1255854931 | Meghann L Marvin | Nurse Practitioner | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-0001 | 2017-07-25 |
| 1962764092 | Anar Mikailov | Dermatology | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-5400 | 2012-06-14 |
| 1134415334 | Meaghan Marie Mackesy | Radiology | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-6110 | 2011-06-26 |
| 1801039086 | Sarah K Maresco | Nurse Practitioner | 41 Mall Road Lahey Hospital & Medical Ctr, Burlington, MA 01805-3630 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295141588 | Esther Kim | Hospitalist | Lahey Hospital & Medical Center 41 Mall Road, Burlington, MA 01805-5123 | 2014-07-07 |
| 1194334870 | Independent Geriatric Professionals of Nj PC | Hospitalist | 902 Jacksonville Rd, Burlington, NJ 08016-3858 | 2020-07-28 |
| 1295266443 | Shawn Wayne | Hospitalist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-21 |
| 1982081493 | Caleb Doyle-burr | Hospitalist | 111 Colchester Ave, Burlington, VT 05401 | 2015-05-04 |
| 1114313905 | Gatha Geetha Nair | Hospitalist | 111 Colchester Ave, Mailstop 156sm2, Burlington, VT 05401 | 2015-04-08 |
| 1124413752 | Alexander Teng | Hospitalist | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805 | 2015-03-31 |
| 1063806206 | Umer Syed | Hospitalist | 111 Colchester Ave, Burlington, VT 05401 | 2015-03-25 |
| 1225422462 | Kara Klingman Landry | Hospitalist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-25 |
| 1003200551 | Elena Kozakewich | Hospitalist | 111 Colchester Ave, Uvm Medical Center, Dept of Internal Medicine, 222wp2, Burlington, VT 05401 | 2015-03-23 |
| 1699184671 | Fernando Velazquez Vazquez | Hospitalist | 252 Mchenry St, Burlington, WI 53105-1828 | 2014-08-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.