CAMERON LEITCH (NPI# 1710327077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710327077 |
| Entity Type | Individual |
| Full Name | CAMERON LEITCH |
| Credential | M.D. |
| Practice Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Mailing Address |
801 Broadway N Fargo ND 58102-3641 |
| Practice Telephone | 7158383311 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
58387 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RL12841 | ND | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Broadway N, Fargo, ND 581023641 | 7012342000 |
| Street Address |
1400 BELLINGER ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456848 | Ganesh Ram | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2005-06-13 |
| 1467050807 | Rachel E Ciresi | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-10-16 |
| 1427668805 | Taran Allan Brody | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-07-31 |
| 1720608300 | John Anthony Zadroga | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-23 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1003435728 | Sarah Hotovy | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-13 |
| 1730708520 | Sasha Marie Ulrich | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-11 |
| 1134757248 | Rajani Kasana | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-01 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1366075756 | Kayla Sue Meixner | Occupational Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768457 | Wells Isaac Mangrum | Radiology | 3130 Anric Dr, Eau Claire, WI 54701-3054 | 2008-04-24 |
| 1619040672 | Alicia Christine Arnold | Radiology | 2715 W Frank St, Eau Claire, WI 54703-2593 | 2006-11-16 |
| 1255336897 | Vicki L. Hawn | Radiology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2005-06-20 |
| 1114157369 | Erik B. Sviggum | Radiology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2009-07-22 |
| 1568696573 | Megan Meyers | Radiology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2009-05-05 |
| 1497997050 | Ryan Sykes Jean-baptiste | Radiology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2009-03-29 |
| 1093905861 | Jeremy Frank Mcbride | Radiology | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-07-27 |
| 1821295635 | James Jeremy Kinsella | Radiology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2007-06-27 |
| 1972642916 | Peter Edward Humphrey Jr. | Radiology | 2116 Craig Rd, Eau Claire, WI 54701 | 2007-02-06 |
| 1952449597 | Jan Stauss | Radiology | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2007-02-04 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.