WAYNE N LEEVES (NPI# 1780662643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780662643 |
Entity Type | Individual |
Full Name | WAYNE N LEEVES |
Credential | MD |
Practice Address |
4002 Technology Ctr Longview TX 75605-2697 |
Mailing Address |
323 N Fannin Tyler TX 75702-7321 |
Practice Telephone | 9032470484 |
Practice Fax Number | 9032470485 |
Mailing Telephone | 9035319835 |
Enumeration Date | 2006-01-02 |
Last Update Date | 2014-05-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | E8657 | TX | Allopathic & Osteopathic Physicians |
Street Address |
4002 TECHNOLOGY CTR |
City | LONGVIEW |
State | TX |
Zip Code | 75605-2697 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972596096 | Trent Eugene Gale | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2005-08-24 |
1528518339 | Frances Ridenour | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2016-10-05 |
1205258753 | Stacy Nicole Bratcher | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2014-01-16 |
1104147339 | Onesource Home Care, Inc. | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-06-22 |
1114240587 | Phynet, Inc | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
1558684944 | Phynet, Inc | Clinic/Center | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
1144245176 | Phynet Inc | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-12 |
1386674711 | Ted Dawson Trimble | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-03 |
1245214873 | Grace Independent Home Care, Inc. | Home Health | 4002 Technology Ctr, Longview, TX 75605 | 2005-12-06 |
1710974811 | Darrell A Bunch | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2005-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1851924625 | Community Wound Resource, LLC | General Practice | 2901 4th St, Longview, TX 75605-5128 | 2020-02-19 |
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1982981049 | Hbmd Consulting LLC | General Practice | 1100 N 4th St, Longview, TX 75601-4739 | 2011-11-03 |
1821159492 | Sophie Michele Hoptowit | General Practice | 720 14th Avenue, Longview, WA 98632 | 2006-12-13 |
1326108242 | Paul J Stuber | General Practice | 1044 11th Ave, Longview, WA 98632-2506 | 2006-12-11 |
1013979053 | Richard English | General Practice | 950 N 4th St, Longview, TX 75601-5436 | 2006-04-05 |
1154390896 | William O. Stahl | General Practice | 1615 Delaware St, Longview, WA 98632-2310 | 2006-03-15 |
1720056187 | Peacehealth | General Practice | 1615 Delaware St, Longview, WA 98632-2367 | 2006-03-10 |
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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.