DR. RAYMOND JOSEPH LEGENZA JR. (NPI# 1427020700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427020700 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND JOSEPH LEGENZA JR. |
| Credential | MD |
| Practice Address |
5955 Zeamer Ave Elmendorf Afb AK 99506-3702 |
| Practice Telephone | 9075804006 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5803 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL DEA | BL8922153 | 01 |
| Street Address |
5955 ZEAMER AVE |
| City | ELMENDORF AFB |
| State | AK |
| Zip Code | 99506-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261642 | Michael Joseph Del Grande | Pharmacist | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2020-07-01 |
| 1154946440 | Tommi Alana Heim | Physical Therapy Assistant | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2020-06-11 |
| 1386118545 | Ryan Spencer Rowe | Registered Nurse | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2019-01-21 |
| 1417300799 | Thomas B Williams | Physician Assistant | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2016-07-21 |
| 1699139824 | Benjamin Barringer | General Practice | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2016-04-13 |
| 1790150126 | James B Mcdonald | Physician Assistant | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2015-12-10 |
| 1760862155 | William Harjes | Radiology | 5955 Zeamer Ave, Jber Hospital - Diagnostic Radiology, Elmendorf Afb, AK 99506 | 2015-06-01 |
| 1053707257 | Sara Larosa | Anesthesiology | 5955 Zeamer Ave, Elmendorf Afb, AK 99506 | 2015-04-14 |
| 1942695556 | Calen Wade Kucera | Obstetrics & Gynecology | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2015-03-31 |
| 1215355037 | Andrew Paul Polito | Internal Medicine | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2014-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598754145 | Herman Roy Ellemberger | Emergency Medicine | 3 Mdg- Sgoee, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 | 2005-10-17 |
| 1851495162 | Matthew J Wolf | Emergency Medicine | 5955 Zeamer Avenue, 3rd Md6, Elmendorf Afb, AK 99506 | 2006-09-08 |
| 1023025715 | Brian G Rogers | Emergency Medicine | 5955 Zeamer Ave, 3rd Md6, Elmendorf Afb, AK 99506 | 2006-08-02 |
| 1811986839 | Laura Kim Abts | Emergency Medicine | 5955 Zeamer Ave, Attn 3mdg Sgoee, Elmendorf Afb, AK 99506-3702 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819613 | Emily Junck | Emergency Medicine | 3240 Hospital Dr, Emergency Department, Bartlett Regional Hospital, Juneau, AK 99801-7808 | 2012-04-02 |
| 1174814073 | Justin Ray Warix | Emergency Medicine | 417 1st Avenue, Seward, AK 99664 | 2011-04-26 |
| 1538458799 | David Rf Otten | Emergency Medicine | 5955 Zeamer Ave 673d Mdg, Jber, AK 99506-3702 | 2011-03-28 |
| 1881928372 | Jennifer Eisner | Emergency Medicine | 1 Chief Eddie Hoffman Highway, Ykhc, Bethel, AK 99559 | 2009-09-30 |
| 1487816476 | Jessica Erin Sotelo | Emergency Medicine | Providence Medical Center Alaska, Anchorage Emergency D, 3200 Providence Drive, Anchorage, AK 99508 | 2008-06-30 |
| 1427251008 | John Jay Everett | Emergency Medicine | 4315 Diplomacy Drive/emergency Dept, Alaska Native Medical Center, Anchorage, AK 99508-2511 | 2007-06-09 |
| 1982810925 | Nancy L Kragt | Emergency Medicine | 2741 Debarr Rd Bldg C, #403, Denali Emergency Medicine Assoc., Anchorage, AK 99508-2961 | 2007-05-15 |
| 1730392150 | Christopher Calvert | Emergency Medicine | 6471 Village Pkwy, Anchorage, AK 99504-3947 | 2007-05-08 |
| 1972644664 | Marc Jack Dumas | Emergency Medicine | 5859 Aerofuel Pl, Fairbanks, AK 99709-4486 | 2007-02-08 |
| 1760532006 | Robert D Hagberg | Emergency Medicine | Mat Su Empercency Medicine Physicians At Msrmc, 2500 S. Woodworth Loop, Palmer, AK 99645 | 2007-01-11 |
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| City | ELMENDORF AFB |
| Zip Code | 99506 |
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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.