DR. CHARLES E LEACH JR. (NPI# 1720091788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720091788 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E LEACH JR. |
| Credential | MD |
| Practice Address |
379 Naubuc Ave Glastonbury CT 06033-1076 |
| Mailing Address |
4 Farm Springs Rd Prohealth Physicians Farmington CT 06032-2573 |
| Practice Telephone | 8606523320 |
| Practice Fax Number | 8606573116 |
| Mailing Telephone | 8602845200 |
| Mailing Fax Number | 8602845333 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 019486 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879855 | Charles Raymond Leach | Internal Medicine | 4440 E Highway 287, Midlothian, TX 76065-5576 | 2006-06-13 |
| 1073620142 | Charles Thomas Leach | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-08-24 |
| Street Address |
379 NAUBUC AVE |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730190737 | Steven L Craig | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-11 |
| 1548484561 | Smiles for The Future, LLC | Dentist | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2007-04-12 |
| 1235254343 | Margaret Vacek | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2007-03-20 |
| 1821129966 | Katherine E Voss | Physician Assistant | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2007-03-08 |
| 1528171824 | Christina A Kozar | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-17 |
| 1366455396 | Sharon K Pool | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-14 |
| 1962414490 | Cecille Freilich | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-13 |
| 1366454795 | Devika R Kasaraneni | Internal Medicine | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-13 |
| 1790797785 | William J Vacek | Internal Medicine | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-12 |
| 1669484630 | Joy E Hong | Pediatrics | 379 Naubuc Ave, Glastonbury, CT 06033-1076 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1720603087 | Ct Osteopathic, LLC | Internal Medicine | 41 Baldwin Ln, Glastonbury, CT 06033-3845 | 2020-06-12 |
| 1346437233 | Sudeep Bansal | Internal Medicine | 131 New London Tpke Ste 105, Glastonbury, CT 06033 | 2007-09-25 |
| 1124136353 | Melissa Mae Klaus | Internal Medicine | 379 Naubuc Avenue, Glastonbury, CT 06033 | 2006-08-28 |
| 1447263546 | Paul M Vella | Internal Medicine | 969 Hebron Ave, Glastonbury, CT 06033-2417 | 2006-08-13 |
| 1508845306 | Donna M Cipolla | Internal Medicine | 300 Western Blvd, Suite A, Glastonbury, CT 06033-4305 | 2006-01-11 |
| 1447237060 | Laurinda L Santos | Internal Medicine | 676 Hebron Ave, Glastonbury, CT 06033-2410 | 2005-12-23 |
| 1619467826 | Avanta Clinic LLC | Internal Medicine | 131 New London Tpke Ste 105, Glastonbury, CT 06033 | 2018-05-14 |
| 1770017089 | Awais Ibad | Internal Medicine | 676 Hebron Ave, Suite 1, Glastonbury, CT 06033-2410 | 2017-04-13 |
| 1962761197 | Calmare Therapies Pain Relief Centers LLC | Internal Medicine | 55 Nye Rd, Glastonbury, CT 06033-1281 | 2012-05-08 |
| 1720221344 | James Joseph Ocampo | Internal Medicine | 379 Naubuc Avenue, Glastonbury, CT 06033 | 2009-04-13 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.