LEIA MARLENE THORNTON (NPI# 1376597518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376597518 |
| Entity Type | Individual |
| Full Name | LEIA MARLENE THORNTON |
| Credential | PAC |
| Practice Address |
4749 Berry Blvd Montgomery AL 36106 |
| Practice Telephone | 3342710280 |
| Practice Fax Number | 3342711918 |
| Mailing Telephone | 3342710280 |
| Mailing Fax Number | 3342711918 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA435 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1504297 | 05 | |
| AL | BCBS | 51533432 | 01 |
| AL | 009936221 | 05 | |
| MS | 06437010 | 05 |
| Street Address |
4749 BERRY BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841272606 | Livingston Lee Eaddy Jr. | Specialist | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2005-11-17 |
| 1487047775 | Donette Rae Survance | Nurse Practitioner | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2015-03-10 |
| 1427149731 | Alabama Surgical Consultants | Surgery | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2006-09-28 |
| 1033130760 | John W Tinglin | Specialist | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2006-07-21 |
| 1023053485 | Kertrisa R Mcwhite | Surgery | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2006-06-19 |
| 1356323125 | Howard Carey Snider Jr. | Surgery | 4749 Berry Blvd, Montgomery, AL 36106-3079 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1154803179 | Ashley Goad | Physician Assistant | 269 Lakeside Hills Dr, Montgomery, TX 77316-6895 | 2018-09-06 |
| 1831550003 | Ruchi Patel | Physician Assistant | 2060 Berryhill Road, Montgomery, AL 36117 | 2016-03-15 |
| 1346600939 | Patrick Tyler Pair | Physician Assistant | 440 Taylor Rd Ste 3380, Montgomery, AL 36117-3587 | 2016-02-25 |
| 1720403066 | Suzanne Cullers | Physician Assistant | 18059 Highway 105 W Ste 120, Montgomery, TX 77356-5001 | 2014-02-24 |
| 1790110690 | Lisa Diane Vatani | Physician Assistant | 59 La Costa Dr, Montgomery, TX 77356-5352 | 2013-09-10 |
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1235488289 | Kristin L Sponaugle | Physician Assistant | 1898 Mulberry St, Montgomery, AL 36106-1526 | 2012-09-06 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1184680431 | Trudie Dianne Seirafi | Physician Assistant | 4250 Carmichael Ct N, Montgomery, AL 36106-2874 | 2006-04-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on LEIA MARLENE THORNTON.
| 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.