MARY LISA LEONARD (NPI# 1952419830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952419830 |
| Entity Type | Individual |
| Full Name | MARY LISA LEONARD |
| Credential | MD |
| Practice Address |
985 Robert Blvd Suite 101 Slidell LA 70458-2063 |
| Mailing Address |
985 Robert Blvd Suite101 Slidell LA 70458-2063 |
| Practice Telephone | 9856908300 |
| Practice Fax Number | 9858472310 |
| Mailing Telephone | 9856908300 |
| Mailing Fax Number | 9858472310 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 09276R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1963046 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154619062 | Mary Leonard | Developmental Therapist | 1941 N Orchard St, Apt. 2r, Chicago, IL 60614-5129 | 2011-07-12 |
| 1013144310 | Mary C Leonard | Speech-Language Pathologist | 300 American Legion Ln, Pinehurst, NC 28374-8978 | 2009-06-15 |
| 1134362908 | Mary M Leonard | Psychologist | 1509 Ritchie Hwy Ste F, Arnold, MD 21012-2742 | 2009-04-09 |
| 1295908838 | Mary Leonard | Occupational Therapy Assistant | 3933 Scotsmoore Dr, Fort Collins, CO 80524-6417 | 2008-04-03 |
| 1780852012 | Mary Kay Leonard | Massage Therapist | 7111 Ridgewood Ave, Parma, OH 44129-2380 | 2008-02-20 |
| 1194298075 | Mary Carmelita Leonard | Speech-Language Pathologist | 3117 Alvey Park Dr W, Owensboro, KY 42303-2139 | 2019-01-03 |
| 1306330659 | Mary Catherine Leonard | Social Worker | 55 Lake Avenue North, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655 | 2018-06-20 |
| 1275046351 | Mary Kathryn Leonard | Speech-Language Pathologist | 20100 S Spruce Dr, Frankfort, IL 60423-7099 | 2017-11-10 |
| 1275042244 | Mary Rebekah Leonard I | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-09-22 |
| 1851669709 | Mary Alice Leonard | Registered Nurse | 116 Pleasant St, Peru, NY 12972-2821 | 2011-12-07 |
| Street Address |
985 ROBERT BLVD SUITE 101 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970678 | Adrienne Bernhard | Nurse Anesthetist, Certified Registered | 985 Robert Blvd, Slidell, LA 70458-2063 | 2005-08-25 |
| 1881973956 | Thomas Jerome Myers | Anesthesiology | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-08-08 |
| 1851679849 | Diana L. Gillmore, M.d.,l.l.c. | Surgery | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-07-26 |
| 1679899777 | Ear, Nose, Throat Clinic of Slidell | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2010-04-14 |
| 1639330368 | Bert R. Bratton Apmc | Neurological Surgery | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-06-25 |
| 1174798698 | Nancy H Villa | Audiologist-Hearing Aid Fitter | 985 Robert Blvd, Ste. 104, Slidell, LA 70458-2063 | 2008-04-25 |
| 1306010566 | Northlake Interventional Pain Management, LLC | Pain Medicine | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-04-18 |
| 1144338153 | Wade Joseph Estopinal | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1639287659 | Charles Allen Preston | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1669410171 | James Edward Fambro | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679899777 | Ear, Nose, Throat Clinic of Slidell | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2010-04-14 |
| 1730264839 | The Slidell Ear, Nose and Throat Associaties, Pmc | Otolaryngology | 1850 Gause Blvd E, Ste. 301, Slidell, LA 70461-5442 | 2006-10-26 |
| 1912082009 | Gerard Francis Pena | Otolaryngology | 1850 Gause Blvd E, Ste. 301, Slidell, LA 70461-5442 | 2006-10-26 |
| 1891715413 | Louis Carl Hebert | Otolaryngology | 1850 Gause Blvd E, Ste. 301, Slidell, LA 70461-5442 | 2006-07-19 |
| 1730189929 | Robert Earle Owens | Otolaryngology | 1850 Gause Blvd E, Suite 301, Slidell, LA 70461-5442 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352272 | Trahan Medical Corporation | Otolaryngology | 3935 I 49 S Service Rd, Opelousas, LA 70570-0758 | 2020-10-05 |
| 1144834177 | Compassio, LLC | Otolaryngology | 616 S Jahncke Ave, Covington, LA 70433-3719 | 2020-09-08 |
| 1851918486 | Wk Bossier Ent & Allergy Institute | Otolaryngology | 2449 Hospital Dr Ste 440, Bossier City, LA 71111-1918 | 2020-06-30 |
| 1356992119 | Keith F. Desonier, M.d, Apmc | Otolaryngology | 555 Dr Michael Debakey Dr Ste 103, Lake Charles, LA 70601-5700 | 2019-09-24 |
| 1366096950 | Harold Edward Zylicz II | Otolaryngology | 8585 Picardy Ave Ste 210, Baton Rouge, LA 70809-3749 | 2019-07-31 |
| 1477927838 | Smart Sinus and Allergy Louisiana LLC | Otolaryngology | 73100 E Stadium Dr, Covington, LA 70433-1008 | 2015-11-23 |
| 1336541226 | Dr. Charles J. Ballay II M.d. | Otolaryngology | 1111 Medical Center Blvd, 707 N, Marrero, LA 70072 | 2014-09-23 |
| 1124445093 | Elizabeth Gardner De Laureal | Otolaryngology | 200 W Esplanade Ave Ste 420, Kenner, LA 70065-2489 | 2014-03-27 |
| 1346680758 | Andrew Matthew Robichaux | Otolaryngology | 17609 Old Jefferson Hwy Ste C, Prairieville, LA 70769 | 2013-06-29 |
| 1184966962 | Rachel Alice Barry | Otolaryngology | 4212 W Congress St Ste 1500, Lafayette, LA 70506 | 2013-03-20 |
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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.