DR. PAUL H. LEITSCHUH (NPI# 1689673865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689673865 |
| Entity Type | Individual |
| Full Name | DR. PAUL H. LEITSCHUH |
| Credential | MD |
| Practice Address |
1061 Harmon Avenue Ste 1d03 Ft. Stewart GA 31314-5674 |
| Practice Telephone | 9124356633 |
| Mailing Telephone | 9124356633 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 12527 | OR | Allopathic & Osteopathic Physicians |
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD00025085 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1061 HARMON AVENUE STE 1D03 |
| City | FT. STEWART |
| State | GA |
| Zip Code | 31314-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447650841 | Tanya Sumoski | Radiologic Technologist | 1061 Harmon Avenue, Ft. Stewart, GA 31314 | 2014-09-04 |
| 1134402597 | Julie B Williams | Advanced Practice Midwife | 1061 Harmon Avenue, Ft. Stewart, GA 31314-5674 | 2011-09-22 |
| 1851614325 | Bonita Wonziel Alvarez | Pharmacist | 1061 Harmon Avenue, Ft. Stewart, GA 31314 | 2010-03-11 |
| 1811901895 | Jacob Lawrence Turnquist | Pediatrics | 1061 Harmon Avenue, Ste 1d03, Ft. Stewart, GA 31314-5611 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660663 | Stephanie Lynn Prenzlin | Neuromusculoskeletal Medicine, Sports Medicine | 1095 Berkley Dr Se, Smyrna, GA 30082-3105 | 2020-05-08 |
| 1811523574 | Denise M Leslie-willams | Neuromusculoskeletal Medicine, Sports Medicine | 220 Sandy Springs Cir Ste 157b, Atlanta, GA 30328-3861 | 2020-03-13 |
| 1700350121 | Hope Price | Neuromusculoskeletal Medicine, Sports Medicine | 154 Wedgefield Way, Statesboro, GA 30458-2464 | 2019-01-18 |
| 1265597843 | Michelle Murray Kaplita | Neuromusculoskeletal Medicine, Sports Medicine | 3668 Castlegate Dr Nw, Atlanta, GA 30327-2604 | 2006-12-26 |
| 1699834697 | Medipractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 3955 Harrison Rd, Ste. 400, Loganville, GA 30052-8501 | 2006-12-06 |
| 1013096015 | Margaret Lucinda Brantley | Neuromusculoskeletal Medicine, Sports Medicine | 100 West College Park Drive, Douglas, GA 31533 | 2006-11-02 |
| 1891788741 | Chadalavada N Kishore | Neuromusculoskeletal Medicine, Sports Medicine | 425 Third Ave, Ste 340, Albany, GA 31701 | 2005-08-25 |
| 1033522420 | Cmg1, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 6487 Pierce Chapel Rd Unit 5, Midland, GA 31820-3554 | 2014-06-04 |
| 1720358401 | Pain & Wellness Center of North Fulton | Neuromusculoskeletal Medicine, Sports Medicine | 4180 Old Milton Pkwy, 1c, Alpharetta, GA 30005-2408 | 2012-01-11 |
| 1760501555 | Phyllis Mansour | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd, Atlanta, GA 30324 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
| City | FT. STEWART |
| Zip Code | 31314 |
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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.