ANDREW EVANS LEAKE (NPI# 1730405127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730405127 |
Entity Type | Individual |
Full Name | ANDREW EVANS LEAKE |
Credential | MD |
Practice Address |
417 Libbie Ave Richmond VA 23226-2615 |
Practice Telephone | 8042881953 |
Practice Fax Number | 8042821046 |
Mailing Telephone | (804) 288-1953 |
Mailing Fax Number | 8042821046 |
Enumeration Date | 2010-04-11 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101262166 | VA | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | Hospitals |
Address | Telephone Number | Fax Number |
---|---|---|
200 Lothrop St # A-1011, Pittsburgh, PA 152132536 | 4128023031 |
Street Address |
417 LIBBIE AVE |
City | RICHMOND |
State | VA |
Zip Code | 23226-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831184753 | William Andrew Tierney | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-16 |
1386243855 | Diana D Naidoo | Nurse Practitioner | 417 Libbie Ave, Richmond, VA 23226-2615 | 2020-10-25 |
1417115205 | Avik Mukherjee | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2008-05-28 |
1992763742 | Vascular Surgery Associates of Richmond, PC | Prosthetic/Orthotic Supplier | 417 Libbie Ave, Richmond, VA 23226-2615 | 2006-05-02 |
1376539304 | Frank D Stoneburner Jr. | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-26 |
1679569230 | Marc Thomas Warner | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-20 |
1902892565 | James Paul Mctamaney | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-20 |
1073509634 | Jeff A Brown | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-20 |
1881689719 | Linwood Paul Bosher | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-16 |
1700871639 | Gregg L Londrey | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2005-09-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
Find all providers in zip 23226 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
1770531618 | Barklie Waters Zimmerman | Surgery | 7811 Forest Avenue, Suite 300, Richmond, VA 23229-4920 | 2006-05-04 |
1841258332 | Gerardo Joaquin Angel Mendez-picon | Surgery | 7611 Forest Avenue, Suite 300, Richmond, VA 23229-4920 | 2006-05-03 |
1083055487 | Michele Richard | Surgery | 1250 E Marshall St, Richmond, VA 23298 | 2013-07-13 |
1740414861 | Joshua A Wilensky | Surgery | 1100 Reid Pkwy Ste 215, Richmond, IN 47374-1157 | 2009-05-04 |
1427267822 | Michael Fiore Amendola | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2007-05-22 |
1033292313 | Francisco Cabral Albuquerque Jr. | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2006-10-23 |
1821193921 | Mark M Levy | Surgery | 1250 E Marshall St, Surgery/ Vascular, Richmond, VA 23298-5051 | 2006-09-13 |
1881612372 | Surgical Associates of Richmond, Inc | Surgery | 1051 Johnston Willis Dr, Ste 200, Richmond, VA 23235 | 2006-07-17 |
1326078874 | Charles Frost Gould II | Surgery | 7702 E Parham Rd, Mob IIi Suite 102, Richmond, VA 23294-4371 | 2006-07-03 |
Find all providers in RICHMOND |
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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.