DR. WALTER SHAD LEITCH (NPI# 1295825255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295825255 |
| Entity Type | Individual |
| Full Name | DR. WALTER SHAD LEITCH |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-1100 |
| Mailing Address |
9040 Jackson Ave Attn: Credentials Office Tacoma WA 98431-1100 |
| Practice Telephone | 2539681290 |
| Practice Fax Number | 2539680448 |
| Mailing Telephone | 2539681290 |
| Mailing Fax Number | 2539680448 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
M-8488 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
| 1891395851 | Juliana Dumayas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0002 | 2020-10-29 |
| 1922658491 | Fatima Hossay Safi | Social Worker | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-17 |
| 1134778095 | Vinzuella Boddie | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-09-04 |
| 1588219059 | Susan Marie Lopez | Dietitian, Registered | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-08-01 |
| 1174177109 | Bradley Scott Miller | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-07-29 |
| 1437703568 | Alex Alberto Hernandez Vargas | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-26 |
| 1427619733 | Dana Michelle Sanchez-terry | Nurse Practitioner | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2019-06-26 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
| 1861059081 | Nathaniel Alan Castonguay | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2019-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1578567392 | Karl David Mccowen | Internal Medicine | 1628 S Mildred St, Ste 104, Tacoma, WA 98465-1628 | 2005-06-09 |
| 1871991893 | Emily Elise Henderson | Internal Medicine | 9505 S Steele St, Tacoma, WA 98444-1858 | 2014-12-08 |
| 1588998546 | Franciscan Medical Group | Internal Medicine | 1628 S Mildred St, #104, Tacoma, WA 98465-1627 | 2009-09-23 |
| 1548428683 | Rebecca Kathryn Over | Internal Medicine | 315 Mlk Jr Way, Tacoma, WA 98405 | 2008-05-27 |
| 1548452162 | Gabriela Loperena Oropeza | Internal Medicine | 1901 S Cedar St, #205, Tacoma, WA 98405-2308 | 2007-08-16 |
| 1164579843 | Jonathan Roland Parks | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5001 | 2007-01-04 |
| 1144322991 | Bernard Cho-kwan Ngai | Internal Medicine | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-09-02 |
| 1982679197 | Curtis J Hobbs | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-02-21 |
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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.