MAXWELL DAVID LEITHER (NPI# 1538459755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538459755 |
| Entity Type | Individual |
| Full Name | MAXWELL DAVID LEITHER |
| Practice Address |
6200 Shingle Creek Pkwy Ste 250 Brooklyn Center MN 55430-2107 |
| Practice Telephone | (763) 561-5349 |
| Mailing Telephone | (763) 561-5349 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
57808 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6200 SHINGLE CREEK PKWY STE 250 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
| 1427285030 | Carl Dean | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2009-06-22 |
| 1497906242 | Zeeraq Rahmatullah | Internal Medicine | 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 | 2008-10-09 |
| 1619998499 | John Robert Gray | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-21 |
| 1013938885 | Norman Martin Lunde | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 | 2006-07-21 |
| 1699796326 | Daniel K Ries | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-21 |
| 1023038981 | Michael Grant Somermeyer | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-20 |
| 1922025774 | George Chris Canas | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-17 |
| 1235156118 | Orvin Patrick Ochoa Visaya | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-07-16 |
| 1629010228 | Kidney Specialists of Minnesota, Pa | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 | 2006-06-11 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.