DR. KEVIN LEACH (NPI# 1740215458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740215458 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEACH |
| Credential | M.D. |
| Practice Address |
250 Thompson St Saint Paul MN 55102-2370 |
| Mailing Address |
4801 W 81st St Suite 108 Bloomington MN 55437-1111 |
| Practice Telephone | 6512922000 |
| Practice Fax Number | 6512922136 |
| Mailing Telephone | 9528379700 |
| Mailing Fax Number | 9528379701 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37891 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 206713700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4801 W 81st St, Suite 108, Bloomington, MN 554371111 | 9528379700 | 9528379701 |
| 9055 Springbrook Dr Nw, Coon Rapids, MN 554335841 | 7637809155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245623305 | Kevin Leach | Chiropractor | 2318 Fairview Ave E Unit 3, Seattle, WA 98102-3346 | 2015-03-13 |
| 1245259522 | Kevin C Leach | Pharmacist | 1500 Williams Street, Ft. Harrison, MT 59636 | 2006-07-18 |
| 1962420232 | Kevin Michael Leach | Chiropractor | 4011 Arctic Blvd, Ste 203, Anchorage, AK 99503-5701 | 2006-07-17 |
| 1033181805 | Kevin A Leach | Nurse Anesthetist, Certified Registered | 406s 30th Ave 202, Yakima, WA 98902-3713 | 2006-02-06 |
| Street Address |
250 THOMPSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245218759 | Nihar S Shah | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2006-01-04 |
| 1205273083 | John A Coburn | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-06-03 |
| 1063858793 | Paul Robert Oler II | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-05-21 |
| 1407299423 | Nissar Vahora | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-04-09 |
| 1447593173 | Ahmad Al-samaraee | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-04-01 |
| 1104172782 | Eric Hartman | Internal Medicine | 250 Thompson St, Saint Paul, MN 55102-2370 | 2012-08-01 |
| 1609134436 | Andrew Thomas Babcock | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2012-04-30 |
| 1477819985 | Adrienne Vargo | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2012-04-09 |
| 1790041408 | Hans Charles Nels Lindvall | Physician Assistant | 250 Thompson St, Saint Paul, MN 55102-2370 | 2012-04-06 |
| 1518233642 | Kushal R Parikh | Internal Medicine | 250 Thompson St, Saint Paul, MN 55102-2370 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568589083 | Jamie L. Fort | Radiology | 166 4th St E Ste 100, Saint Paul, MN 55101-1474 | 2007-03-22 |
| 1245218759 | Nihar S Shah | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2006-01-04 |
| 1558367789 | Richard N. Aizpuru | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2005-06-22 |
| 1952307175 | Midwest Radiology, Pa | Radiology | 250 Thompson St., Saint Paul, MN 55102 | 2005-06-22 |
| 1558785311 | Megan Elgethun | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2014-02-13 |
| 1043643059 | Voyageur Imaging,llc | Radiology | 393 Dunlap St N, Suite Ll40, Saint Paul, MN 55104-4200 | 2013-08-13 |
| 1205273083 | John A Coburn | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-06-03 |
| 1063858793 | Paul Robert Oler II | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-05-21 |
| 1407299423 | Nissar Vahora | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-04-09 |
| 1912240235 | Assefa Ayalew | Radiology | 166 4th St E, Saint Paul, MN 55101-1400 | 2013-04-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on DR. KEVIN LEACH.
| 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.