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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | O-0365 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1550 ELK CRK |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8322 |
| 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 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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 | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.