ROBERT MICHAEL LEONARD (NPI# 1669424180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669424180 |
| Entity Type | Individual |
| Full Name | ROBERT MICHAEL LEONARD |
| Credential | PA-C |
| Practice Address |
61 Charles St Deadwood SD 57732-1303 |
| Mailing Address |
353 Fairmont Blvd Atten Mss Rapid City SD 57701-7375 |
| Practice Telephone | 6057226101 |
| Practice Fax Number | 6057196133 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0384 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | STATE LICENSE | 0384 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013337641 | Robert Leonard | Emergency Medicine | 5628 Main St, Floor 1, Flushing, NY 11355-5046 | 2014-04-22 |
| 1215225750 | Robert W Leonard | Dentist | 4590 Hana Hwy., Hana Health, Hana, HI 96713 | 2011-07-19 |
| 1225324890 | Robert Adam Leonard | Nurse Anesthetist, Certified Registered | 1401 Thornhill Ln, Winston Salem, NC 27106-4770 | 2011-06-22 |
| 1235333436 | Robert Scott Leonard | Dentist | 103 South Tennessee Ave, Martinsburg, WV 25401 | 2007-06-12 |
| 1851449482 | Robert Arthur Leonard | Chiropractor | 29540 Center Ridge Rd, Westlake, OH 44145-5115 | 2007-01-08 |
| 1710089297 | Robert Thomas Leonard Jr. | Dermatology | 922 Reservoir Ave, Cranston, RI 02910-4417 | 2006-09-04 |
| 1790312130 | Robert Leonard | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-03-25 |
| 1417115825 | Robert James Leonard | Pharmacist | 13800 Veterans Way, Pharmacy (119), Orlando, FL 32827-7401 | 2008-06-02 |
| 1710991443 | Robert Jay Leonard | Internal Medicine | 19229 Mack Ave, Suite 24, Grosse Pointe Woods, MI 48236 | 2006-07-28 |
| 1124097589 | Robert E Leonard II | Ophthalmology | 12318 Saint Andrews Dr, Oklahoma City, OK 73120-8604 | 2006-03-16 |
| Street Address |
61 CHARLES ST |
| City | DEADWOOD |
| State | SD |
| Zip Code | 57732-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590806 | Monument Health Network, Inc. | Ambulance | 61 Charles St, Deadwood, SD 57732-1303 | 2006-03-01 |
| 1164907598 | Regional Health Network, Inc. | Clinical Medical Laboratory | 61 Charles St, Deadwood, SD 57732-1303 | 2018-10-02 |
| 1225544869 | Jim Hermeling | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2017-12-19 |
| 1003344789 | Brett M Johnson | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2017-05-25 |
| 1619383916 | Urszula Eisner | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-07-08 |
| 1902210917 | Jenna Lampe | Occupational Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2014-06-17 |
| 1275945222 | Regional Health Network Inc. | Home Delivered Meals | 61 Charles St, Deadwood, SD 57732-1303 | 2014-05-27 |
| 1265778328 | Nicholas Liming | Physical Therapist | 61 Charles St, Deadwood, SD 57732-1303 | 2012-12-18 |
| 1720214737 | Regional Health Network Inc | Dietitian, Registered | 61 Charles St, Deadwood, SD 57732-1303 | 2009-06-04 |
| 1376769018 | Chad R. Scholten | Pharmacist | 61 Charles St, Deadwood, SD 57732-1303 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297408 | Megan Quinn | Physical Therapist | 61 Charles Street, Regional Health Lead-deadwood Hospital, Deadwood, SD 57732 | 2017-07-13 |
| 1093718769 | Elizabeth J Sayler | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1124563655 | Regional Health Network Inc. | Dietitian, Registered | 71 Charles St, Deadwood, SD 57732 | 2016-12-19 |
| 1144506593 | Ashley Johnson | Pharmacist | 71 Charles Street, Deadwood, SD 57732 | 2011-10-31 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| 1376611012 | Joe Ping Chang | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2006-12-01 |
| 1346243813 | James T Holloway | Internal Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1942203419 | Thomas J Groeger | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-27 |
| 1598768251 | Karen S Tjaden | Family Medicine | 71 Charles St, Deadwood, SD 57732 | 2005-05-24 |
| 1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
| Find all providers in zip 57732 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818900 | Mackenzi Kay Gatzke | Physician Assistant | 71 Charles St, Deadwood, SD 57732-1303 | 2018-10-31 |
| 1003344789 | Brett M Johnson | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2017-05-25 |
| 1154471282 | Peggy L Hubbard | Physician Assistant | 71 Charles St, Deadwood, SD 57732 | 2007-01-11 |
| 1841239290 | Kay K Huhnerkoch | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2006-06-04 |
| 1568409605 | James M Hardwick | Physician Assistant | 61 Charles St, Deadwood, SD 57732-1303 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1497368153 | Emily Christine Fedders | Physician Assistant | 512 Broadway St, Centerville, SD 57014-2225 | 2020-08-24 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1104448851 | Alexandra L Bachman-williams | Physician Assistant | 24337 Us Highway 212, Eagle Butte, SD 57625-7770 | 2020-05-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1114551447 | Eugenie Coleman | Physician Assistant | 2510 Arrow St, Rapid City, SD 57702-4306 | 2020-02-25 |
| 1235780883 | Alyssa Jo Bump | Physician Assistant | 202 Island Dr Ste 1, Fort Pierre, SD 57532-7303 | 2019-09-25 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1316465925 | Timothy Brian Olsen | Physician Assistant | 621 Ridge Road, Lead, SD 57754 | 2017-09-03 |
| 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.