DR. GLENN RALPH LEAVITT


Address: 1550 Elk Crk, Idaho Falls, ID 83404-8322
Phone: 2085295942

DR. GLENN RALPH LEAVITT (NPI# 1386644318) 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) 1386644318
Entity Type Individual
Full Name DR. GLENN RALPH LEAVITT
Credential DO
Practice Address 1550 Elk Crk
Idaho Falls
ID 83404-8322
Practice Telephone 2085295942
Practice Fax Number 2085295951
Mailing Telephone 2085354580
Enumeration Date 2005-08-01
Last Update Date 2012-03-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology O-0365 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 1550 ELK CRK
City IDAHO FALLS
State ID
Zip Code 83404-8322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811185184 Teton Women's Health Center Obstetrics & Gynecology 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 2007-10-11
1275603193 Jeffrey B Baker Obstetrics & Gynecology 187 E. 13th St., Idaho Falls, ID 83404 2006-11-08
1194757393 Matthew Robison Obstetrics & Gynecology 3450 Potomac Way, Idaho Falls, ID 83404-7407 2006-07-07
1780043042 Teton Obstetrics and Gynecology Pa Obstetrics & Gynecology 2001 S Woodruff Ave, Suite 10, Idaho Falls, ID 83404-6374 2016-02-15
1346653862 Monarch Healthcare Pllc Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2014-06-03
1437561016 Jacob Venesky Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2014-05-29
1346536232 Kayla L Asay Obstetrics & Gynecology 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 2011-06-20
1841501731 Jason Bill Gundersen Obstetrics & Gynecology 3450 Potomac Way, Idaho Falls, ID 83404-4970 2010-06-25
1174847198 Steven Jacob Adams Obstetrics & Gynecology 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 2010-03-19
1083841068 Christopher J Allphin Obstetrics & Gynecology 2990 Cortez Ave, Idaho Falls, ID 83404-7554 2009-06-17
Find all providers in IDAHO FALLS

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City IDAHO FALLS
Zip Code 83404

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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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