DOUGLAS LAMONT LEAVITT (NPI# 1922019900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922019900 |
| Entity Type | Individual |
| Full Name | DOUGLAS LAMONT LEAVITT |
| Credential | MD |
| Practice Address |
1531 Esplanade Chico CA 95926-3310 |
| Practice Telephone | 5303326337 |
| Practice Fax Number | 5308936936 |
| Mailing Telephone | 5303326300 |
| Mailing Fax Number | 5308936936 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A46018 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A460180 | 05 | |
| CA | MEDICARE RAILROAD | P00314414 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609086354 | Douglas Reid Leavitt | Dentist | 5867 Mayfield Rd, Mayfield Hts, OH 44124-2931 | 2007-05-23 |
| Street Address |
1531 ESPLANADE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
| 1174120836 | Alexandra Lynn Watts | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2020-10-06 |
| 1336785096 | Jeannette Marian Mutch Teesdale | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-11-18 |
| 1205480639 | Shannon Marie Haller-baker | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-24 |
| 1386297331 | Andrew Adam Lee | Clinical Nurse Specialist | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-18 |
| 1710539333 | Elizabeth Joanne Seaman | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-13 |
| 1265094684 | Patricia Carol Paddock | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-05 |
| 1518439553 | Kelsey Lynn Micone | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2018-12-31 |
| 1417448838 | Richelle Candace Wildey | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2018-05-21 |
| 1972022465 | Amber Rose Keenan | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926 | 2017-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1043531866 | Jason Bell | Emergency Medicine | 972 Myrtle Ave, Chico, CA 95926-1328 | 2010-06-15 |
| 1619921707 | Brent A. Bills | Emergency Medicine | 888 Lakeside Vlg Cmns, Chico, CA 95928-3979 | 2006-05-22 |
| 1144680141 | Kevin R Sorensen | Emergency Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2016-03-03 |
| 1922286657 | Michael Fraters | Emergency Medicine | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2008-02-05 |
| 1083807309 | John Michael Whitman | Emergency Medicine | 1531 Esplanade, Chico, CA 95926-3310 | 2007-08-21 |
| 1114130697 | Vincent Frank Balardi | Emergency Medicine | 1531 Esplanade, Chico, CA 95926 | 2007-05-08 |
| 1205923638 | Kenneth W Fleming | Emergency Medicine | 1531 Esplanade, Chico, CA 95926-3310 | 2006-10-06 |
| 1609963057 | Michael J Disano | Emergency Medicine | 1531 Esplanade, Chico, CA 95926-3310 | 2006-10-06 |
| 1023110970 | Mark J Bohlander | Emergency Medicine | 888 Lakeside Vlg Commons, Chico, CA 95928-3979 | 2006-09-02 |
| 1881605913 | Jeffrey Winham Swenson | Emergency Medicine | 888 Lakeside Vlg Commons, Chico, CA 95928-3979 | 2006-08-11 |
| Find all providers in CHICO | ||||
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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.