LEESBURG REGIONAL MEDICAL CENTER INC (NPI# 1245226190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245226190 |
| Entity Type | Organization |
| Organization Name | LEESBURG REGIONAL MEDICAL CENTER INC |
| Practice Address |
600 E Dixie Ave Leesburg FL 34748-5925 |
| Mailing Address |
600 E. Dixie Avenue Attn: Reimbursement Dept. Leesburg FL 34748-5994 |
| Practice Telephone | 3523235762 |
| Practice Fax Number | 3523235239 |
| Mailing Telephone | 3523235762 |
| Mailing Fax Number | 3523235039 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | MRS. DIANE HARDEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3523235002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS ID | 328 | 01 |
| FL | 010107900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663153 | Leesburg Regional Medical Center Inc | Rehabilitation Unit | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-11-08 |
| Street Address |
600 E DIXIE AVE |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061660 | Gregory Wayne Betton | Emergency Medicine | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2005-05-23 |
| 1053941385 | Robert Bernard | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2020-01-26 |
| 1033685847 | Scott D. Doll | Nurse Practitioner | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-10-18 |
| 1265915573 | Samuella Ferrari | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-09-12 |
| 1740761485 | Tamicha Anderson Gooden | Registered Nurse | 600 E Dixie Ave, Leesburg, FL 34748 | 2018-08-21 |
| 1396267753 | Matthew Meyer | Registered Nurse | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2017-07-07 |
| 1215301171 | Anemone Emergency Physicians, LLC | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2015-11-16 |
| 1730592411 | Eva H Berry | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2014-06-10 |
| 1902226459 | Christine Reames | Pharmacy Technician | 600 E Dixie Ave, Room 1046, Leesburg, FL 34748-5925 | 2014-04-23 |
| 1407281306 | Jessica G Ortiz-colon | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831520352 | Mojgan Afshari | General Acute Care Hospital | 19453 Xerox Dr, Leesburg, VA 20176-6559 | 2013-12-09 |
| 1487144523 | Leesburg Regional Medical Center, Inc. | General Acute Care Hospital | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2018-05-15 |
| 1699176321 | Loudoun Hospital Center | General Acute Care Hospital | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2014-09-12 |
| 1184747883 | Inova Loudoun Hospital | General Acute Care Hospital | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2007-04-09 |
| 1376564302 | Inova Health Care Services | General Acute Care Hospital | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2006-07-23 |
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| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
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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.