DR. LEAH W MCAVOY


Address: 5471 W Waterford Ln Ste B, Appleton, WI 54913-8510
Phone: 9207317445

DR. LEAH W MCAVOY (NPI# 1588857841) 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) 1588857841
Entity Type Individual
Full Name DR. LEAH W MCAVOY
Credential D.O
Practice Address 5471 W Waterford Ln Ste B
Appleton
WI 54913-8510
Mailing Address 5337 W Grande Market Dr
Appleton
WI 54913-8442
Practice Telephone 9207317445
Mailing Telephone 9207317445
Enumeration Date 2007-08-21
Last Update Date 2019-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
53813-21 WI Allopathic & Osteopathic Physicians
N 2080A0000X Pediatrics
Specialization: Adolescent Medicine
5101015980 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 5471 W WATERFORD LN STE B
City APPLETON
State WI
Zip Code 54913-8510

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1780116244 Alison Pelger Physician Assistant 3916 North Intertech Court, Appleton, WI 54913 2017-04-03
1316311905 Lucy Bouressa Specialist/Technologist 2105 E. Enterprise Ave, 113, Appleton, WI 54913 2015-11-19
1992189989 Brittany Reinke Physical Therapist Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 2015-07-20
1902280092 Costco Wholesale Corporation Pharmacy 5401 W Integrity Way, Grand Chute, WI 54913 2015-07-17
1942646849 Richard Anthony Mauthe Pharmacist 5401 W. Integrity Way, Neenah, WI 54913 2013-05-17
1750622163 Tonya Janelle Wilderman Pharmacist 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 2013-03-10
1295938777 Jenna Marie Kadlec Physical Therapist 3916 N. Intertech Court, Appleton, WI 54913 2007-06-11
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801154000 Kathryn E Gannon-loew Pediatrics 540 N 16th St, Milwaukee, WI 53233-2160 2012-04-25
1922392067 Mary Guillot Pediatrics 999 N 92nd St Ste 460, Wauwatosa, WI 53226 2011-06-07
1144555178 Katsumi Neeno Pediatrics 2341 Tradition Ln, Janesville, WI 53545-0723 2009-10-08
1518165380 Syed N Hasnain Pediatrics 1971 W Capitol Dr, Milwaukee, WI 53206-1909 2007-07-03
1629292206 Thomas Henry Kowalski Pediatrics 3872 S Lake Dr Unit 404, Milwaukee, WI 53235-5236 2007-04-13
1912929803 Mary L. Ganz Pediatrics 1290 Betsy Ross Ct, Brookfield, WI 53045-5362 2006-07-23
1164463261 Pradeep Gopi Kumar Pediatrics 8348 Washington Ave, Mount Pleasant, WI 53406-3733 2006-06-09
1649221482 Mary Susan Jay Pediatrics 8915 W Connell Ave, Milwaukee, WI 53226-3067 2006-05-15
1962478040 Peter S Karofsky Pediatrics 2711 Allen Blvd, Middleton Teen Clinic, Middleton, WI 53562 2006-02-27
1396740296 Najwa A Beit Shawish Pediatrics 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 2005-06-16
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Competitor

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City APPLETON
Zip Code 54913

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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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