DR. JEROME LEAHEY (NPI# 1104828557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104828557 |
Entity Type | Individual |
Full Name | DR. JEROME LEAHEY |
Credential | M.D. |
Practice Address |
622 E Elm St Union City OH 45390-1722 |
Mailing Address |
Po Box 452 Union City OH 45390 |
Practice Telephone | 9379687416 |
Mailing Telephone | 7659644100 |
Mailing Fax Number | 7659644300 |
Enumeration Date | 2005-08-15 |
Last Update Date | 2012-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01019789A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 181904 | 05 | |
IN | 100161790A | 05 | |
IN | BC/BS # | 00000093889 | 01 |
Street Address |
622 E ELM ST |
City | UNION CITY |
State | OH |
Zip Code | 45390-1722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629075320 | Roy E Harvey | Family Medicine | 622 E Elm St, Union City, OH 45390-1722 | 2005-07-07 |
1609395425 | Patricia L Sutter | Nurse Practitioner | 622 E Elm St, Union City, OH 45390-1722 | 2017-09-13 |
1275561037 | Susan K Pyle | Family Medicine | 622 E Elm St, Union City, OH 45390-1722 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053698902 | Laura Lee Klopfer | Home Health Aide | 320 North Stateline Street, Union City, OH 45390 | 2011-11-07 |
1720285737 | Rita K King | Registered Nurse | 46 State Route 502, 46 State Route 502, Union City, OH 45390 | 2007-07-02 |
1346353463 | Crotinger Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 907 E Central St, Union City, OH 45390 | 2006-08-15 |
1669726626 | Stacy Marie Stucke | Occupational Therapy Assistant | 907 E Central St, Union City, OH 45390-1605 | 2012-10-30 |
1518210525 | Karla Koesters | Physical Therapy Assistant | 907 E Central St, Union City, OH 45390-1605 | 2012-10-16 |
1730353970 | Union City Care Center Inc | Skilled Nursing Facility | 907 E Central St, Union City, OH 45390-1605 | 2008-04-18 |
1730426776 | Chad E Howell | Licensed Practical Nurse | 711 E Cherry St, Union City, OH 45390-1607 | 2013-01-10 |
1689998759 | Rebecca Sue Rapier | Licensed Practical Nurse | 220 E Caroline St, Union City, OH 45390-1704 | 2010-03-18 |
1457325516 | Union City Ohio Fire Rescue | Ambulance | 401 E Elm St, Union City, OH 45390-1717 | 2006-02-15 |
1982204137 | Carol Jones | Homemaker | 332 N Walnut St, Union City, OH 45390-1766 | 2020-10-27 |
Find all providers in zip 45390 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Find all providers with the same taxonomy |
City | UNION CITY |
Zip Code | 45390 |
Please comment or provide details below to improve the information on DR. JEROME LEAHEY.
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.