CHARLES RAYMOND LEACH (NPI# 1205879855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205879855 |
| Entity Type | Individual |
| Full Name | CHARLES RAYMOND LEACH |
| Credential | MD |
| Practice Address |
4440 E Highway 287 Midlothian TX 76065-5576 |
| Practice Telephone | 9727235590 |
| Practice Fax Number | 9727235592 |
| Mailing Telephone | 9727235590 |
| Mailing Fax Number | 9727235592 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | F4922 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID OTHER | 131879221 | 01 |
| TX | RAILROAD MEDICARE | 110094182 | 01 |
| TX | 131879204 | 05 | |
| TX | MEDICARE - OTHER COUNTY | 283520YL7A | 01 |
| TX | 131879208 | 05 | |
| TX | 131879218 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073620142 | Charles Thomas Leach | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-08-24 |
| 1720091788 | Charles E Leach Jr. | Internal Medicine | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-14 |
| Street Address |
4440 E HIGHWAY 287 |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083143093 | Nguyet Anh Nguyen | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2017-06-05 |
| 1649618612 | Kristi Jean Garrett | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2013-06-11 |
| 1225388713 | Monica Leigh Talley-essex | Nurse Practitioner | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-12 |
| 1194075762 | Tamra Lei Boteler | Nutritionist | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-09-11 |
| 1851646491 | Kristen Michelle Bold | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2012-07-19 |
| 1043533664 | John Steven Hanley | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2010-03-10 |
| 1508097155 | Jay Pribble | Physician Assistant | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2009-07-30 |
| 1780850099 | Charlie Ruby D O P A | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2008-05-06 |
| 1255540514 | Achal Pankaj Modi | Urology | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-05-22 |
| 1396969176 | Earl C. Ruby | Family Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618263 | Minerva Health LLC | Internal Medicine | 3512 Ellerton Dr, Midlothian, VA 23113-3668 | 2018-11-20 |
| 1114370764 | Donald Cox | Internal Medicine | 5911 Sleepy Hollow Ln, Midlothian, TX 76065-4621 | 2016-07-19 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1053698399 | Bon Secours - St. Francis Medical Center LLC | Internal Medicine | 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114-4404 | 2011-11-15 |
| 1356552202 | Robert Abbate | Internal Medicine | 1341 Ashemore Ct, Midlothian, TX 76065-7912 | 2007-05-24 |
| 1245305796 | Frank Logan Brown Jr. | Internal Medicine | 14311 Leafield Dr, Midlothian, VA 23113-6005 | 2006-11-21 |
| 1245320894 | Leanne M. Yanni | Internal Medicine | 2366 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2006-10-13 |
| 1376563189 | Olivia A Mansilla | Internal Medicine | 360 Brown's Hill Ct., Midlothian, Midlothian, VA 23114-9510 | 2006-07-21 |
| 1801816079 | Kelly Mcdonald Barbour | Internal Medicine | 2410 Pagehurst Dr, Midlothian, VA 23113-6411 | 2006-07-20 |
| 1629008693 | Kelsey Elizabeth Swanson Salley | Internal Medicine | 2384 Colony Crossing Place, Midlothian, VA 23112 | 2006-07-04 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
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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.