JONATHAN LEE GLEASON (NPI# 1780749820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780749820 |
| Entity Type | Individual |
| Full Name | JONATHAN LEE GLEASON |
| Credential | MD |
| Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
| Practice Telephone | 5409854099 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MT186681 | PA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
0101251665 | VA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
29368 | AL | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
0101251665 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02536526 | 05 | |
| AL | 113528 | 05 | |
| AL | BLUE CROSS | 51599090 | 01 |
| AL | BLUE CROSS | 51599092 | 01 |
| AL | 113530 | 05 | |
| AL | BLUE CROSS | 51599089 | 01 |
| AL | 113533 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174812101 | Jonathan Brett Gleason | Counselor | 3232 Tazewell Pike, Knoxville, TN 37918-2529 | 2011-03-30 |
| Street Address |
101 ELM AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881019909 | Blue Ridge Urogynecology, Inc | Obstetrics & Gynecology | 3800 Electric Rd, Suite 405, Roanoke, VA 24018-4569 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528013620 | Christopher Joseph Walshe | Obstetrics & Gynecology | 1035 Champions Way Ste 700, Suffolk, VA 23435-3763 | 2006-05-24 |
| 1497749907 | Maria Pettit Canter | Obstetrics & Gynecology | 1860 Town Center Dr Ste 140, Reston, VA 20190-5898 | 2005-09-12 |
| 1770055238 | Privia Womens Health LLC | Obstetrics & Gynecology | 7611 Forest Ave Ste 200, Richmond, VA 23229-4946 | 2018-12-21 |
| 1326475542 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 8266 Atlee Rd, Suite 219, Mechanicsville, VA 23116-1804 | 2013-10-02 |
| 1083056774 | Virginia Hospital Center Physician Group, LLC | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2013-07-23 |
| 1407194186 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2013-01-30 |
| 1417160524 | Tovia Martirosian Smith | Obstetrics & Gynecology | 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 | 2007-05-07 |
| 1407881790 | Nicolette Sigrid Horbach | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2006-07-12 |
| 1023043361 | Walter S Vonpechmann | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2006-07-12 |
| 1942230040 | Nathan L. Guerette | Obstetrics & Gynecology | 1401 Johnston Willis Dr, Suite 1100, North Chesterfield, VA 23235-4730 | 2006-07-04 |
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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.