LESLIE RENEE SIEGEL


Address: 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701
Phone: 2602661000

LESLIE RENEE SIEGEL (NPI# 1528677622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528677622
Entity Type Individual
Full Name LESLIE RENEE SIEGEL
Practice Address 11109 Parkview Plaza Dr # 1
Fort Wayne
IN 46845-1701
Mailing Address 10139 Jefferson Way
Fort Wayne
IN 46825-2176
Practice Telephone 2602661000
Mailing Telephone 9898599820
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 26028860A IN Pharmacy Service Providers

Office Location

Street Address 11109 PARKVIEW PLAZA DR # 1
City FORT WAYNE
State IN
Zip Code 46845-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801408604 Jordan Leigh Holder Pharmacist 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 2020-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1962048140 Andrew Quang Tran Pharmacist 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-11-21
1467005991 Nicholas Selby Pharmacist 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-07-23
1215427042 Jerry Eugene Falls Pharmacist 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 2018-05-17
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1063900611 Juliette Peters Pharmacist 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 2018-04-30
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1790238350 Karleen Goodwin Pharmacist 3964 New Vision Dr, Fort Wayne, IN 46845-1712 2016-08-01
1699131300 Brent Alan Losier Pharmacist 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 2016-01-11
1902273444 Brian Bates Pharmacist 5005 Iris Ave, Apt 421, Fort Wayne, IN 46825-2772 2015-09-01
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

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.

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