ROBERT LEACH (NPI# 1770575391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770575391 |
| Entity Type | Individual |
| Full Name | ROBERT LEACH |
| Credential | DO |
| Practice Address |
2408 Tour Edition Dr Henderson NV 89074-8300 |
| Practice Telephone | 4143340148 |
| Mailing Telephone | 4143340148 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 44077-021 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43510200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487870663 | Robert S. Leach | Dentist | 1260 Healdsburg Ave, Suite 101, Healdsburg, CA 95448-3407 | 2007-04-17 |
| 1831250869 | Robert Leach | Dentist | 4025 E Hill Rd, Grand Blanc, MI 48439-7942 | 2006-12-13 |
| 1528145125 | Robert Alan Leach | Chiropractor | 214 Russell St, Starkville, MS 39759 | 2006-11-01 |
| 1922639103 | Robert Blake Leach | Pharmacist | 960 E Tri County Blvd, Oliver Springs, TN 37840-1820 | 2020-01-28 |
| 1629368451 | Robert Leach | Psychologist | 2727 Bryant St, Suite 510, Denver, CO 80211-4130 | 2011-04-13 |
| 1750347845 | Robert N Leach Jr. | Emergency Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2006-04-26 |
| 1962468421 | Robert Alan Leach | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2006-04-25 |
| 1114910411 | Robert James Leach | Internal Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2005-08-23 |
| Street Address |
2408 TOUR EDITION DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602899 | Obhg Nevada PC | Emergency Medicine | 2001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-06-03 |
| 1063807022 | Kristopher Ryan Shannon | Emergency Medicine | Dignity Health, Siena Campus, 3001 St. Rose Parkway, Henderson, NE 89052 | 2015-04-06 |
| 1821417155 | Stace Breland | Emergency Medicine | 2573 Williamsburg St, Henderson, NV 89052-4933 | 2014-04-15 |
| 1619293495 | Miguel Angel Mendoza Navarro | Emergency Medicine | 2380 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-5078 | 2010-04-19 |
| 1558599050 | Nathan L Tranchell | Emergency Medicine | 1966 Kachina Mountain Dr, Henderson, NV 89012-2220 | 2009-06-23 |
| 1134254824 | Derrick Daniel Creighton | Emergency Medicine | 2432 Eagleridge Dr, Henderson, NV 89074-6295 | 2007-02-22 |
| 1215018692 | Nhan Huu Nguyen | Emergency Medicine | 1015 North Elm Street, Henderson, KY 42420 | 2006-10-18 |
| 1851481352 | Rick Martin | Emergency Medicine | 102 E. Lake Mead Drive, Henderson, TN 89015 | 2006-10-13 |
| 1205940756 | Jason Lasry | Emergency Medicine | 3001 St Rose Parkway, St. Rose Dominican Hospital (emergency Department), Henderson, NV 89052 | 2006-08-19 |
| 1881628402 | Dale Carrison | Emergency Medicine | 3100 Saint Rose Parkway, Henderson, NV 89052 | 2006-07-10 |
| Find all providers in HENDERSON | ||||
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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.