VIVIAN H LEUNG (NPI# 1447592134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447592134 |
| Entity Type | Individual |
| Full Name | VIVIAN H LEUNG |
| Credential | M.D. |
| Practice Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Mailing Address |
4500 N Shallowford Rd Atlanta GA 30338-6476 |
| Practice Telephone | 2036948200 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56028 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 6626 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 N Shallowford Rd, Atlanta, GA 303386476 | 4047786920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358104 | Vivian Bao-en Leung | Behavioral Analyst | 1-crow Canyon Ct, Ste#100, San Ramon, CA 94583 | 2016-03-14 |
| 1972886372 | Vivian W Leung | Pharmacist | 3005 Midway Dr, San Diego, CA 92110-4502 | 2011-09-21 |
| 1386846137 | Vivian Siu-yun Leung | Social Worker | 3633 Se 35th Pl, Portland, OR 97202-3365 | 2007-06-04 |
| Street Address |
435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595874 | Dean John Mariano | Anesthesiology | 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 | 2005-08-17 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1396394722 | Barbara J Spremullo | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-09-09 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1417414038 | Max Pianka | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-03-01 |
| 1114482882 | Nems Pllc | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-02-06 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1285111443 | Melissa Alvarez | Registered Nurse | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| Find all providers in zip 06451 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083068522 | Grace Cha | Family Medicine | 61 Pomeroy Ave Unit 1, Meriden, CT 06450-7483 | 2016-04-21 |
| 1144331521 | David Mark Taraskevich | Family Medicine | 237 Liberty St, Meriden, CT 06450-4407 | 2006-08-31 |
| 1366497299 | Meriden Health Care LLC | Family Medicine | 834 Broad St, Meriden, CT 06450-4364 | 2006-05-22 |
| 1295783058 | Anthony G Lendino | Family Medicine | 546 South Broad St, Ste 4b, Meriden, CT 06450 | 2006-05-04 |
| 1437158672 | Michael F Kellogg | Family Medicine | 1064 E Main St, Suite 301, Meriden, CT 06450-4898 | 2005-07-19 |
| 1376549444 | Daniel Wilensky | Family Medicine | 134 State St, Meriden, CT 06450-3293 | 2005-06-23 |
| 1902268675 | Sajidmahmad Saeed Bhamji | Family Medicine | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2016-03-22 |
| 1902295660 | Delbert Smith | Family Medicine | 165 Miller St, Meriden, CT 06450-4256 | 2015-01-20 |
| 1346505567 | Rashele Yarborough | Family Medicine | 816 Broad St, Suite 24, Meriden, CT 06450-4350 | 2012-07-13 |
| 1588955793 | Faraj Ghabag | Family Medicine | 134 State St, Meriden, CT 06450-3293 | 2011-04-21 |
| Find all providers in MERIDEN | ||||
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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.