MR. LEO LEBITTY (NPI# 1255376570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255376570 |
Entity Type | Individual |
Full Name | MR. LEO LEBITTY |
Credential | P.A. |
Practice Address |
3311 Riverbend Drive Springfield OR 97477 |
Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
Practice Telephone | 5412223531 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2008-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00520 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3311 RIVERBEND DRIVE |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437157682 | Jerold A Hawn | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
1144475328 | Carrie Margaret Puckett | Internal Medicine | 3311 Riverbend Drive, Oregon Heart and Vascular Institute, Springfield, OR 97477 | 2008-12-01 |
1710956321 | David J Duke | Surgery | 3311 Riverbend Drive, Springfield, OR 97477 | 2006-03-16 |
1093784902 | Paul S Koh | Surgery | 3311 Riverbend Drive, Springfield, OR 97477 | 2006-03-14 |
1811995087 | Samuel S.m. Lau | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
1861490021 | Ramakota K Reddy | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
Please comment or provide details below to improve the information on MR. LEO LEBITTY.
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.