MS. ANGELINE LEONG (NPI# 1396776126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396776126 |
| Entity Type | Individual |
| Full Name | MS. ANGELINE LEONG |
| Other Name | ANGELINE LEONG |
| Credential | PA-C |
| Practice Address |
6821 Nw 11th Pl Box 100107 Gainesville FL 32605-4216 |
| Mailing Address |
5365 W Atlantic Ave Ste 504 Box 100107 Delray Beach FL 33484-8194 |
| Practice Telephone | 3523313353 |
| Practice Fax Number | 3523339035 |
| Mailing Telephone | 5612419300 |
| Mailing Fax Number | 5612419339 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102422 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016919100 | 05 |
| Street Address |
6821 NW 11TH PL BOX 100107 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540187 | Prathima Reddy | Physical Medicine & Rehabilitation | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2005-07-07 |
| 1801245626 | Florida Pain & Rehabilitation Institute Inc | Physical Medicine & Rehabilitation | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2016-06-13 |
| 1831446087 | Lake Area Physical Therapy Inc | Physical Therapist | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2012-08-07 |
| 1740420926 | Asha Anil Vishnagara | Physician Assistant | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2009-02-27 |
| 1376561449 | James Gershow | Otolaryngology | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2006-07-17 |
| 1487638219 | Interventional Medical Associates LLC | Specialist | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| 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 |
|---|---|---|---|---|
| 1750989471 | Rylee Holland | Physician Assistant | 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 | 2020-10-14 |
| 1992329726 | Clinton Thomas Zopf | Physician Assistant | 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 | 2020-06-08 |
| 1689298721 | Michael Wood | Physician Assistant | 10360 Sw 51st Ln, Gainesville, FL 32608-4380 | 2020-06-04 |
| 1386268431 | Alexandra Christina Clayton | Physician Assistant | 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 | 2020-06-04 |
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1003454786 | Erica Lynn Iketani | Physician Assistant | 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 | 2019-12-13 |
| 1952967184 | Naomi Lux | Physician Assistant | 15418 N State Road 121, Gainesville, FL 32653-7513 | 2019-05-13 |
| 1700441441 | Alexandria Brown | Physician Assistant | 3538 Nw 25th Ter, Gainesville, FL 32605-2296 | 2019-05-08 |
| 1891250502 | Mark Burdette Mechak | Physician Assistant | 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 | 2019-02-06 |
| 1427564848 | Ngan Lam | Physician Assistant | 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 | 2017-12-20 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.