DR. MARK LEENAY (NPI# 1023279197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023279197 |
Entity Type | Individual |
Full Name | DR. MARK LEENAY |
Credential | M.D., M.S. |
Practice Address |
6940 338th Ln Nw Princeton MN 55371-5007 |
Practice Telephone | 7633899417 |
Mailing Telephone | 7633899417 |
Enumeration Date | 2008-06-22 |
Last Update Date | 2008-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 33571 | MN | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
33571 | MN | Allopathic & Osteopathic Physicians |
N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
33571 | MN | Allopathic & Osteopathic Physicians |
Street Address |
6940 338TH LN NW |
City | PRINCETON |
State | MN |
Zip Code | 55371-5007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
Find all providers in zip 55371 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275519829 | Gary David Salkind | Family Medicine | 103 Carnegie Ctr, Suite 103, Princeton, NJ 08540-6235 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942766423 | Moments Palliative Care LLC | Family Medicine | 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 | 2019-02-20 |
1588137640 | Wayforth Clinical Services LLC | Family Medicine | 401 Harding St Ne Ste 200, Minneapolis, MN 55413-2801 | 2019-01-10 |
1891174751 | Hra-iq PC | Family Medicine | 4600 W 77th St, #355, Edina, MN 55435-4909 | 2015-05-26 |
1477943421 | Optum Medical Services of Colorado, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-29 |
1811139264 | Charles D Townes | Family Medicine | 16 Meadow Ln S, Minneapolis, MN 55416-3403 | 2009-04-01 |
1447203187 | Ruth O Szajner | Family Medicine | 701 Park Ave # S5, Minneapolis, MN 55415-1623 | 2006-05-17 |
1093702235 | Asma Khalid | Family Medicine | 621 S 4th St, Le Sueur, MN 56058-2203 | 2005-10-03 |
1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
1588028161 | Joshua M Baruth | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-08 |
1528458486 | Optum Medical Services of California, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-30 |
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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.