MR. JOHN DALLAS LEEAH (NPI# 1144451857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144451857 |
| Entity Type | Individual |
| Full Name | MR. JOHN DALLAS LEEAH |
| Practice Address |
8415 Bayshore Blvd Tampa FL 33621-1607 |
| Mailing Address |
6306 S Macdill Ave Apt 1003 Tampa FL 33611-5078 |
| Practice Telephone | 8138279805 |
| Mailing Telephone | 8132440837 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
B1401639 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8415 BAYSHORE BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597375 | Sylvan Howard Riker | Family Medicine | 8415 Bayshore Blvd, 6mdg, Tampa, FL 33621-1607 | 2005-08-31 |
| 1023248275 | Thomas Stuart Herman | Otolaryngology | 8415 Bayshore Blvd, Mdos/sgosl, Tampa, FL 33621-1607 | 2009-07-22 |
| 1538397898 | Nicole Gonzalez | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-25 |
| 1184851529 | Angela Noel Messer | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-12 |
| 1508091778 | Cynthia Marie Milanese | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-05-18 |
| 1184868861 | Christopher Lawson | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-04-27 |
| 1083850135 | Adrian Lee Avalos | Physician Assistant | 8415 Bayshore Blvd, Family Practice - Patriot Clinic, Tampa, FL 33621-1607 | 2008-12-19 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| 1396941597 | Ernestine R Harris | Counselor | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2007-06-25 |
| 1982756078 | Diane Lynn Ellis | Pharmacist | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1811374002 | Sara Bender | Social Worker | 3250 Zemke Ave, Tampa, FL 33621 | 2015-04-27 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376186411 | Bao Quoc Dinh | Spec/Tech, Pathology | 4442 Nw 36th Ter, Gainesville, FL 32605-5419 | 2019-10-22 |
| 1043726565 | Lucita Aguilera | Spec/Tech, Pathology | 7175 66th St N, Pinellas Park, FL 33781-4004 | 2017-12-19 |
| 1073024584 | Cesar Danilo Rodriguez | Spec/Tech, Pathology | 2000 Sw 16th St Apt 10, Gainesville, FL 32608-1437 | 2017-10-24 |
| 1093256422 | Giscard Humberto Yanez | Spec/Tech, Pathology | 13408 Sw 14th Ln, Miami, FL 33184-1869 | 2017-03-18 |
| 1639556053 | Ruben Benitez | Spec/Tech, Pathology | 2765 Shearwater St, Clermont, FL 34711-6275 | 2015-05-05 |
| 1073864617 | Taffy Katrina White | Spec/Tech, Pathology | 3220 Moody Ave, Orange Park, FL 32065-6809 | 2012-09-23 |
| 1144594011 | Ileana Rose Martir | Spec/Tech, Pathology | 7010 Sw 130th Lane Rd, Ocala, FL 34473-5276 | 2012-02-23 |
| 1952530487 | Marcial Velazquez-cancel | Spec/Tech, Pathology | 4816 Nw 23rd Ter, Gainesville, FL 32605-6246 | 2009-07-06 |
| 1356575591 | Therese Ann Pope | Spec/Tech, Pathology | 1135 18th Pl Sw, Vero Beach, FL 32962-6921 | 2009-05-02 |
| 1104064757 | Carma Huff | Spec/Tech, Pathology | 227 Anglers Dr S Apt 304, Marathon, FL 33050-2484 | 2009-02-04 |
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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.