Tiffany L Leach (NPI# 1801225800, PAC ID# 6204068687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801225800 |
| PAC ID by PECOS | 6204068687 |
| Professional Enrollment ID | I20140417001258 |
| Full Name | Tiffany L Leach |
| Organization Legal Name | DFD RUSSELL MEDICAL CENTER INC |
| Address |
180 Church Hill Rd Suite 1 Leeds ME 04263-3418 |
| Phone Number | 2075243501 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274502000 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200024 | CENTRAL MAINE MEDICAL CENTER |
| 200034 | ST MARYS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 | 2075243501 | DFD RUSSELL MEDICAL CENTER INC |
| 180 Church Hill Rd, Leeds, ME 04263-3418 | 2075243501 | DFD RUSSELL MEDICAL CENTER INC |
| 7 S Main St, Turner, ME 04282-4138 | 2072252676 | DFD RUSSELL MEDICAL CENTER INC |
| Organization Legal Name | DFD RUSSELL MEDICAL CENTER INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nora J Gross | Clinical Social Worker | Dfd Russell Medical Center Inc | 7 S Main St, Turner, ME 04282-4138 |
| John M Yindra | Family Medicine | Dfd Russell Medical Center Inc | 11 Academy Rd, Monmouth, ME 04259-7035 |
| Miles Brookes | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Gary S Rivard | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Mikaela B Rubenstein | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Kassie A Skvorak | Physician Assistant | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Leah J Hebert | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Anthony S Martin | Physician Assistant | Dfd Russell Medical Center Inc | 11 Academy Rd, Monmouth, ME 04259-7035 |
| Heather Inness Robertson | Physician Assistant | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Laurie A Huntress | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Street Address |
180 CHURCH HILL RD SUITE 1 |
| City | LEEDS |
| State | ME |
| Zip | 04263-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miles Brookes | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Gary S Rivard | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Mikaela B Rubenstein | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Kassie A Skvorak | Physician Assistant | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Leah J Hebert | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Heather Inness Robertson | Physician Assistant | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Laurie A Huntress | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Lydia Thorp | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Susan A Thomas | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Shannon M Deschenes | Family Medicine | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Rockett | Clinical Social Worker | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Jodie B Kaufman | Nurse Practitioner | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Suite 1, Leeds, ME 04263-3418 |
| Alice L Haines | Family Practice | Dfd Russell Medical Center Inc | 180 Church Hill Rd, Leeds, ME 04263-3418 |
| City | LEEDS |
| Zip Code | 04263 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LEEDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tiffany L Leach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.