LESLIE CANYON FAMILY MEDICINE, P.S. (NPI# 1538349030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538349030 |
| Entity Type | Organization |
| Organization Name | LESLIE CANYON FAMILY MEDICINE, P.S. |
| Practice Address |
705 Gage Blvd Suite 200 Richland WA 99352-9701 |
| Practice Telephone | 5096282331 |
| Practice Fax Number | 5096280537 |
| Mailing Telephone | 5096282331 |
| Mailing Fax Number | 5096280537 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. LUCIEN T MEGNA (PRESIDIENT / CEO) |
| Authorized Official Telephone | 5096282331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | WA00034155 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11151316 | 01 | |
| WA | 7077993 | 05 |
| Street Address |
705 GAGE BLVD SUITE 200 |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775924 | Lucien T Megna | Family Medicine | 705 Gage Blvd, Suite 200, Richland, WA 99352-9701 | 2005-07-28 |
| 1720331614 | Wilikinia April Vasquez | Social Worker | 705 Gage Blvd, Suite 102, Richland, WA 99352-9716 | 2012-10-17 |
| 1649471947 | Evan Denis Schmitz | Internal Medicine | 705 Gage Blvd, Suite 101, Richland, WA 99352-9716 | 2007-05-31 |
| 1013030535 | Andrew Drury Hansen | Physician Assistant | 705 Gage Blvd, Suite 200, Richland, WA 99352-9701 | 2007-04-09 |
| 1952460776 | Bonnie Jene Kendall | Social Worker | 705 Gage Blvd, Suite 102, Richland, WA 99352 | 2006-12-07 |
| 1700969391 | Gill, Ritchie, Walker Pllc | Dentist | 705 Gage Blvd, Ste 300, Richland, WA 99352 | 2006-10-24 |
| 1962419473 | Bruce Wallace Ayres | Surgery | 705 Gage Blvd, Suite 100, Richland, WA 99352-9716 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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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.