JASON LEAL (NPI# 1396066460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396066460 |
| Entity Type | Individual |
| Full Name | JASON LEAL |
| Credential | CPO |
| Practice Address |
5225 S Highway 95 Ste 7 Fort Mohave AZ 86426-9111 |
| Practice Telephone | 9287682454 |
| Mailing Telephone | 9287682454 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5225 S HIGHWAY 95 STE 7 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020972 | Kaitlin Quan | Prosthetist | 1131 E Highland Ave, Phoenix, AZ 85014-3639 | 2020-07-16 |
| 1528620101 | Lisa Marie Bowers | Prosthetist | 3330 E Wahalla Ln, Phoenix, AZ 85050-7904 | 2019-07-03 |
| 1871017137 | Randall Scott Whiteside | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-07-28 |
| 1770938946 | Lorin Christopher Merkley | Prosthetist | 4135 S Power Rd Ste 127, Mesa, AZ 85212-3627 | 2016-04-25 |
| 1427317429 | Seth O'brien | Prosthetist | 2058 S Dobson Rd Ste 17, Mesa, AZ 85202 | 2012-05-10 |
| 1316268485 | Gregory Talen | Prosthetist | 3173 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2010-06-11 |
| 1437302544 | Prosthetic Center LLC | Prosthetist | 8440 E. Mcdonald Drive, Prosthetic Center Suite B, Scottsdale, AZ 85250-8300 | 2008-11-03 |
| 1912092610 | Stephen Mitchell Mcnamee | Prosthetist | 4501 N 32nd St, Phoenix, AZ 85018-3339 | 2006-10-04 |
| 1841806262 | Anthony Berland | Prosthetist | 4445 N 7th St, Phoenix, AZ 85014-4139 | 2020-09-21 |
| 1609386853 | Randy Whiteside Prosthetics LLC | Prosthetist | 1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
Please comment or provide details below to improve the information on JASON LEAL.
| 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.