PETER JOSPEH LEAHY (NPI# 1780029504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780029504 |
| Entity Type | Individual |
| Full Name | PETER JOSPEH LEAHY |
| Credential | MD |
| Practice Address |
750 8th Ave Ste 200 Fort Worth TX 76104-2500 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 6828852170 |
| Practice Fax Number | 8173358277 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
S2387 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 191635 | NC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851412084 | Peter J Leahy | Internal Medicine | 720 Albany St, Boston, MA 02118-2518 | 2007-04-03 |
| Street Address |
750 8TH AVE STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602904 | Zohra Shad | Medical Genetics | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2007-07-18 |
| 1578179636 | Lisa Guerra | Nurse Practitioner | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602904 | Zohra Shad | Medical Genetics | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2007-07-18 |
| 1184651077 | Joanne Nguyen | Medical Genetics | 1300 W Lancaster Ave Ste 204, Fort Worth, TX 76102-3490 | 2006-06-27 |
| 1841281318 | Lesley M Drummond-borg | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2005-11-02 |
| 1265826143 | Diana Carrasco | Medical Genetics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2015-03-27 |
| 1922354166 | Candace Nicole Gamble | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2012-07-25 |
| 1457648917 | Alexandra Garza Flores | Medical Genetics | 1300 W Lancaster Ave Ste 204, Fort Worth, TX 76102-3490 | 2011-07-06 |
| 1275838088 | Tina Grace Barbaro Dieber | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2011-01-26 |
| 1912918111 | Mary K Kukolich | Medical Genetics | 1300 W Lancaster Ave, Ste 204, Fort Worth, TX 76102-3410 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640576 | Joseph Leonard Goldstein | Medical Genetics | 5323 Harry Hines Blvd Frnt, Dallas, TX 75390-7201 | 2018-12-17 |
| 1720335045 | Claudia Rocio Soler Alfonso | Medical Genetics | 6701 Fannin St Ste D1560, Houston, TX 77030-2608 | 2012-08-06 |
| 1104118918 | James E Butler | Medical Genetics | 5931 Crosslake Pkwy, Waco, TX 76712-6986 | 2011-05-11 |
| 1497054993 | April Dione Adams | Medical Genetics | 6651 Main St Ste 1020, Houston, TX 77030-2351 | 2011-03-23 |
| 1558521013 | David Felipe Rodriguez | Medical Genetics | 6431 Fannin Street, Msb 3.144, Houston, TX 77030-2359 | 2008-06-09 |
| 1720298979 | Vincent R Macias, Md Pa Clinical Genetics | Medical Genetics | 725 E Esperanza Ave, Suite A, Mcallen, TX 78501-1402 | 2007-05-23 |
| 1356493472 | Verna Lois Morris Rose | Medical Genetics | 1524 Leander Road, Georgetown, TX 78628 | 2007-01-17 |
| 1093881161 | Richard Martin Roberts | Medical Genetics | 6610 Belvoir Ave, Corpus Christi, TX 78414-3949 | 2006-11-28 |
| 1982795316 | Southwest Genetics, P.a. | Medical Genetics | 7614 Louis Pasteur Dr, Suite 310, San Antonio, TX 78229-4036 | 2006-09-28 |
| 1568574267 | Gabriel S Khodr | Medical Genetics | 7614 Louis Pasteur, #310 Southwest Genetics Pa, San Antonio, TX 78229 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.