CHARLES CAMERON LEITHEAD (NPI# 1215299961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215299961 |
| Entity Type | Individual |
| Full Name | CHARLES CAMERON LEITHEAD |
| Credential | M.D. |
| Practice Address |
605 Lapalco Blvd Gretna LA 70056-7302 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 5043719355 |
| Mailing Telephone | (504) 842-4000 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2017-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
306383 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
605 LAPALCO BLVD |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033484340 | Michael Richard Voorhies Jr. | Pain Medicine | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2012-03-20 |
| 1518587633 | Lauren Ann Duhon | Speech-Language Pathologist | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2020-04-18 |
| 1922639541 | Emily Labourdette Greer | Registered Nurse | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2020-02-02 |
| 1861972812 | Edward Andrew Hymel | Nurse Practitioner | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2018-08-20 |
| 1710410857 | Stephanie Roubion | Physician Assistant | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2017-04-05 |
| 1548704422 | Ochsner Clinic LLC | General Practice | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2016-12-12 |
| 1437546488 | Anshul S Acharya | Family Medicine | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2015-04-16 |
| 1144650672 | Elisecia Brown | Nurse Practitioner | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159790 | Cardiovascular Specialties of Louisiana LLC | Surgery | 3311 Prescott Rd Ste 312, Alexandria, LA 71301-3984 | 2020-06-20 |
| 1578942512 | Southern Vascular Associates LLC | Surgery | 127 Queensberry Dr, Lafayette, LA 70508-5421 | 2015-05-22 |
| 1821330093 | Laurel Hadley Hastings | Surgery | 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808 | 2013-03-26 |
| 1598001687 | Rodric Marsh Yeager | Surgery | 7717 Creswell Rd, 46, Shreveport, LA 71106-6000 | 2012-12-18 |
| 1730410408 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave Fl 3, Baton Rouge, LA 70809-3720 | 2010-01-20 |
| 1588993679 | Vascular Access Center of North Shore Louisiana | Surgery | 915 South Harrison Street, Covington, LA 70433 | 2009-12-18 |
| 1174624712 | Jon V. Schellack, M.d. (a Professional Medical Corporation) | Surgery | 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144 | 2006-09-26 |
| 1003926981 | John Douglas Frusha | Surgery | 8595 Picandy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
| 1285645705 | Claudie Suzanne Mcarthur Sheahan Md | Surgery | 2820 Napoleon Ave Ste 700, New Orleans, LA 70115-8291 | 2006-08-10 |
| 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.