DR. LEIGH ROWAN-KELLY (NPI# 1790987709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790987709 |
| Entity Type | Individual |
| Full Name | DR. LEIGH ROWAN-KELLY |
| Other Name | DR. MICHAEL CHARLES LEIGH ROWAN-KELLY |
| Credential | MD |
| Practice Address |
15290 Pennock Ln Apple Valley MN 55124-7163 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9528538800 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
58842 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TAXONOMY | 390200000X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9825 Hospital Dr, Ste 102a, Maple Grove, MN 553694479 | 7635819220 | 7635819220 |
| Street Address |
15290 PENNOCK LN |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857018 | Thomas Michael King | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2006-01-27 |
| 1053807719 | John Boettger | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124 | 2018-07-06 |
| 1437688538 | Zaynab Rasheed | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-06-12 |
| 1992236194 | Erica Lee Mahlum | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-03-21 |
| 1902213366 | Kelly Fischer | Occupational Therapist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2014-07-17 |
| 1528483799 | Brita Emanuell Dahlquist | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2014-02-25 |
| 1619311586 | Olusola Olasupo Adegoke | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2013-04-23 |
| 1497018055 | Daniel E Stein | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-06-19 |
| 1386910479 | Tracy Jo Irons-dieterle | Nurse Practitioner | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-03-22 |
| 1457631517 | Neil James Johnson | Dentist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191956 | Danny M Colton | Family Medicine | 17868 Outer Highway 18, Suite # 211, Apple Valley, CA 92307-1267 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145978 | Steady State Medicine, LLC | Family Medicine | 4001 Stinson Blvd Ste 403, Minneapolis, MN 55421-3424 | 2010-05-19 |
| 1760557888 | Jeffery Carl Morgan | Family Medicine | 6200 Excelsior Blvd Suite 202, St. Louis Park, MN 55416 | 2006-11-22 |
| 1528054301 | Timothy M Scanlan | Family Medicine | 4767 Dahlia Way N, Hugo, MN 55038-6060 | 2005-09-27 |
| 1043829625 | Sasaki Medical LLC | Family Medicine | 1919 University Ave W, St Paul, MN 55104 | 2020-07-29 |
| 1376166496 | Central Medical Wellness Inc | Family Medicine | 821 Raymond Ave Ste 230, Saint Paul, MN 55114-1503 | 2020-05-22 |
| 1629532429 | Ecc Addiction & Toxicology Services LLC | Family Medicine | 2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279 | 2019-01-25 |
| 1326490475 | Sasaki Medical LLC | Family Medicine | 2233 Hamline Ave N, Ste 110, Roseville, MN 55113-5009 | 2016-07-12 |
| 1508209842 | Alexander Matthew Hubbell | Family Medicine | 606 24th Ave S Ste 602, Minneapolis, MN 55454-1438 | 2013-04-16 |
| 1366562662 | Rowena Louise Archibald | Family Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2007-03-30 |
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on DR. LEIGH ROWAN-KELLY.
| 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.