DR. WALTER SHAD LEITCH


Address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100
Phone: 2539681290

DR. WALTER SHAD LEITCH (NPI# 1295825255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295825255
Entity Type Individual
Full Name DR. WALTER SHAD LEITCH
Credential M.D.
Practice Address Madigan Army Medical Center 9040 Jackson Ave
Tacoma
WA 98431-1100
Mailing Address 9040 Jackson Ave Attn: Credentials Office
Tacoma
WA 98431-1100
Practice Telephone 2539681290
Practice Fax Number 2539680448
Mailing Telephone 2539681290
Mailing Fax Number 2539680448
Enumeration Date 2006-10-13
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
M-8488 ID Allopathic & Osteopathic Physicians

Office Location

Street Address MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396740254 Dennis Huang Podiatrist Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2005-06-16
1891395851 Juliana Dumayas Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 2020-10-29
1922658491 Fatima Hossay Safi Social Worker Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-09-17
1134778095 Vinzuella Boddie Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-09-04
1588219059 Susan Marie Lopez Dietitian, Registered Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-08-01
1174177109 Bradley Scott Miller Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 2019-07-29
1437703568 Alex Alberto Hernandez Vargas Registered Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-07-26
1427619733 Dana Michelle Sanchez-terry Nurse Practitioner Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 2019-06-26
1255998076 Scott Michael Brown Military Health Care Provider Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 2019-05-28
1861059081 Nathaniel Alan Castonguay Licensed Practical Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 2019-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295024727 Qin Ouyang Internal Medicine 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 2011-04-05
1386958882 Kadapalakere Pathalingappa Manjun Reddy Internal Medicine 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 2010-07-27
1578567392 Karl David Mccowen Internal Medicine 1628 S Mildred St, Ste 104, Tacoma, WA 98465-1628 2005-06-09
1871991893 Emily Elise Henderson Internal Medicine 9505 S Steele St, Tacoma, WA 98444-1858 2014-12-08
1588998546 Franciscan Medical Group Internal Medicine 1628 S Mildred St, #104, Tacoma, WA 98465-1627 2009-09-23
1548428683 Rebecca Kathryn Over Internal Medicine 315 Mlk Jr Way, Tacoma, WA 98405 2008-05-27
1548452162 Gabriela Loperena Oropeza Internal Medicine 1901 S Cedar St, #205, Tacoma, WA 98405-2308 2007-08-16
1164579843 Jonathan Roland Parks Internal Medicine Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5001 2007-01-04
1144322991 Bernard Cho-kwan Ngai Internal Medicine 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 2006-09-02
1982679197 Curtis J Hobbs Internal Medicine Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2006-02-21
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Competitor

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City TACOMA
Zip Code 98431

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Dataset Information

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.

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