MR. SAMUEL TYLER LEGER (NPI# 1255729919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255729919 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL TYLER LEGER |
| Credential | PA-C |
| Practice Address |
242 Green St Gardner MA 01440-1336 |
| Mailing Address |
15 Hospital Dr York ME 03909-1011 |
| Practice Telephone | 9786323420 |
| Mailing Telephone | 2073512478 |
| Mailing Fax Number | 2073512216 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1905 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAT0068 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | DEA | ML5214399 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Hospital Dr, York, ME 039091011 | 2073634321 | 2073630120 |
| Street Address |
242 GREEN ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470837 | Elizabeth Ew Temple | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2005-07-12 |
| 1205448701 | Henry Heywood Memorial Hospital | Hospitalist | 242 Green St, Gardner, MA 01440-1336 | 2020-08-18 |
| 1013529502 | Henry Heywood Memorial Hospital | Emergency Medicine | 242 Green St, Gardner, MA 01440-1336 | 2020-08-18 |
| 1932748480 | Tiffany Osborne | Nurse Practitioner | 242 Green St, Gardner, MA 01440-1336 | 2020-01-02 |
| 1912546615 | Zachariah C Logiodice | Pharmacist | 242 Green St, Gardner, MA 01440-1373 | 2019-12-27 |
| 1003470493 | Jane Allard | Registered Nurse | 242 Green St, Gardner, MA 01440-1336 | 2019-05-01 |
| 1700348380 | Meghan Schmidt | Registered Nurse | 242 Green St, Gardner, MA 01440-1336 | 2019-04-03 |
| 1902367204 | Imaging Consultants Inc | Clinic/Center | 242 Green St, Gardner, MA 01440-1336 | 2019-03-28 |
| 1427541069 | Lauren B Gibbons | Internal Medicine | 242 Green St, Gardner, MA 01440-1336 | 2018-06-08 |
| 1467964288 | Jessica Polana | Nurse Practitioner | 242 Green St, Gardner, MA 01440-1336 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004558 | Sarah Elizabeth Lupinski | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2019-07-08 |
| 1700386604 | Charles Richard Brewer | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2018-02-16 |
| 1427415199 | Kyle Argo | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-01-26 |
| 1629390331 | Misty R Chambers | Physician Assistant | 830 E Main St, Gardner, KS 66030-1287 | 2010-02-22 |
| 1609021203 | Sadie A Eichel | Physician Assistant | 250 Green St, Suite 202, Gardner, MA 01440-1396 | 2008-11-24 |
| 1275721334 | Hilda Escobedo | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2007-10-12 |
| 1932243417 | Jesse J Hammond | Physician Assistant | 500 Colony Rd, North Central Correctional Institute, Gardner, MA 01440-4238 | 2007-02-16 |
| 1962577262 | Matthew J Enos | Physician Assistant | 57 City Hall Ave, Gardner, MA 01440-2614 | 2006-11-21 |
| 1861453912 | Rachael Brow | Physician Assistant | 175 Connors St, Gardner, MA 01440-2637 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.