LEO VIGNE MD PC (NPI# 1497237036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497237036 |
| Entity Type | Organization |
| Organization Name | LEO VIGNE MD PC |
| Other Organization Name | LEO VIGNE MD PC |
| Practice Address |
106 W 105th St Apt 16 New York NY 10025-8802 |
| Practice Telephone | 9177330344 |
| Mailing Telephone | 9177330344 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | DR. LEO GARY BONILLA JR. (PRESIDENT) |
| Authorized Official Telephone | 7188151000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
207239-1 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LEO VIGNE MD PC | Doing Business As Name - Organization |
| LEO VIGNE MD PC | Former Legal Business Name - Organization |
| Street Address |
106 W 105TH ST APT 16 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
| 1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
| 1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
| 1639681695 | Newyou PC | Anesthesiology | 282 11th Ave Apt 3101, New York, NY 10001-1287 | 2017-10-31 |
| 1740709237 | Crest Pain Medicine P C | Anesthesiology | 115 E 57th St Fl 16, New York, NY 10022-2098 | 2017-09-15 |
| 1619416294 | Boleslav Kosharskyy, Medical Practice, P.C. | Anesthesiology | 44 W 127th St Apt 1a, New York, NY 10027-3888 | 2017-02-16 |
| 1598179608 | Vinci Health Medical P.C. | Anesthesiology | 20 E 46th St Fl 7, New York, NY 10017-9282 | 2014-06-17 |
| 1518300839 | Marc Samuel Cohen | Anesthesiology | 40 Park Ave # 1, New York, NY 10016 | 2013-04-17 |
| 1043551831 | David Marshak Md PC | Anesthesiology | 603 W 115th St, 350, New York, NY 10025-7722 | 2013-03-05 |
| Find all providers in NEW YORK | ||||
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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.