DR. LESLIE C LOCKRIDGE (NPI# 1437133352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437133352 |
| Entity Type | Individual |
| Full Name | DR. LESLIE C LOCKRIDGE |
| Credential | MD |
| Practice Address |
637 Union St Newport VT 05855 |
| Mailing Address |
Po Box 838 Newport VT 05855 |
| Practice Telephone | 8023344111 |
| Practice Fax Number | 8023343281 |
| Mailing Telephone | 8023347177 |
| Mailing Fax Number | 8023349022 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD10934 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
042-0011226 | VT | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
217751 | MA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0420011226 | VT | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD10934 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1013157 | 05 | |
| RI | 9002624 | 05 |
| Street Address |
637 UNION ST |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174901342 | Northeast Kingdom Hematology Oncology Pllc | Licensed Practical Nurse | 637 Union St, Newport, VT 05855-5498 | 2015-05-08 |
| 1689094039 | Northeast Kingdom Hematology Oncology Pllc | Internal Medicine | 637 Union St, Newport, VT 05855-5498 | 2014-04-24 |
| 1104091909 | Paul M. Julien Pllc | Otolaryngology | 637 Union St, Newport, VT 05855-5498 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
| 1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
| 1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
| 1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| Find all providers in zip 05855 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831246305 | Tennessee Cancer Specialists Pllc | Internal Medicine | 423 2nd Street, Tennova Newport Medical Center, Newport, TN 37821-3702 | 2007-01-05 |
| 1689094039 | Northeast Kingdom Hematology Oncology Pllc | Internal Medicine | 637 Union St, Newport, VT 05855-5498 | 2014-04-24 |
| 1578813903 | Samaritan Pacific Health Services | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2012-09-13 |
| 1710103536 | Rimini A Breakstone | Internal Medicine | 11 Friendship St, Newport, RI 02840-2209 | 2007-04-18 |
| 1972634350 | North Country Hospital & Health Systems Inc | Internal Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-08 |
| 1205984911 | Tennessee Cancer Specialists Pllc | Internal Medicine | 434 4th St, Suite 208, Newport, TN 37821-3746 | 2007-01-08 |
| 1366528366 | North Country Hospital & Health Center Inc | Internal Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-10-31 |
| 1295725141 | Alessandro Papa | Internal Medicine | 19 Friendship St, Suite 360, Newport, RI 02840-2200 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558503888 | Eswar Tipirneni | Internal Medicine | 130 Fisher Rd. Cvmc - Hem/onc, Mob Ste. #3, 130 Fisher Rd., Berlin, VT 05602 | 2009-04-01 |
| 1295929222 | Neil Adrian Zakai | Internal Medicine | Given Building E214 University of Vermont, 89 Beaumont Ave, Burlington, VT 05405-0001 | 2007-09-03 |
| 1043302979 | Richard Frank Branda | Internal Medicine | 1 S. Prospect St, Burlington, VT 05401 | 2006-09-28 |
| 1447257555 | Vermont Center for Cancer Medicine, Inc. | Internal Medicine | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2005-07-05 |
| 1306842844 | Margaret Kennedy | Internal Medicine | Hematology Oncology 89 Beaumont Ave, Given Building E-14, Burlington, VT 05405-2156 | 2005-06-21 |
| 1578991675 | Sakshi Jasra | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2013-10-29 |
| 1003248238 | Champlain Valley Hematology Oncology, PC | Internal Medicine | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2013-07-30 |
| 1114367463 | Diego Andres Adrianzen Herrera | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-07-01 |
| 1841555083 | Shahid Sattar Ahmed | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-07-12 |
| 1861773913 | Hibba Tul Rehman | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2011-09-02 |
| Find all providers with the same taxonomy | ||||
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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.