ROGER L LEONARD (NPI# 1780835504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780835504 |
| Entity Type | Individual |
| Full Name | ROGER L LEONARD |
| Credential | RN |
| Practice Address |
#85 West Hwy 22 Santo Domingo NM 87052 |
| Mailing Address |
Po Box 340 Santa Fe NM 87052 |
| Practice Telephone | 5054653060 |
| Mailing Telephone | 5054653060 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R54222 | NM | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720020936 | Roger Leonard | Internal Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2006-06-12 |
| Street Address |
#85 WEST HWY 22 |
| City | SANTO DOMINGO |
| State | NM |
| Zip Code | 87052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902353972 | Karin Luzzi | Registered Nurse | 100 Highway 22 W, Santo Domingo, NM 87052 | 2016-09-07 |
| 1043676273 | Kyle Maestas | Physician Assistant | 85 West Hwy 22, Santo Domingo, NM 87052 | 2016-01-04 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1720335219 | Samantha Nicole Torres | Pharmacist | 85 W Hwy 22, Santo Domingo, NM 87052 | 2012-08-14 |
| 1679766489 | Santo Domingo Tribe | Ambulance | #1 Tesuque St., Ems Headquarters, Santo Domingo Pueblo, NM 87052 | 2007-08-24 |
| 1326165994 | Santa Domingo Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 340 San Ildefonso St, Santa Domingo, NM 87052 | 2007-03-26 |
| 1467509612 | Andrea Heeter | Specialist/Technologist | Santo Domingo Health Center, 85 Hwy 22, Santo Domingo, NM 87052 | 2007-01-03 |
| 1164531950 | Jonathan Neil Trujillo | Pharmacist | 85 West Highway 22, Santo Domingo Health Center, Santo Domingo, NM 87052 | 2006-08-29 |
| 1053920520 | John Patirck Pagett | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2020-07-30 |
| 1700397593 | Christina S Cruz | Registered Nurse | 85 West Highway 22, Santo Domingo Pueblo, NM 87052 | 2017-10-19 |
| Find all providers in zip 87052 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1528579596 | Full Circle Health and Wellness LLC | Clinic/Center | 1702 W Gilchrist Ave, Artesia, NM 88210-1100 | 2017-10-18 |
| 1972038917 | Pa Medical Rehab Center LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 | 2017-04-27 |
| 1144676149 | Acuhealth Acupuncture, LLC | Clinic/Center | 511 W San Mateo Rd, Santa Fe, NM 87505-4027 | 2016-05-09 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1750687190 | Daves Health Services, LLC | Clinic/Center | 110 S Halagueno St, Carlsbad, NM 88220-5748 | 2011-02-02 |
| 1699079459 | Nm Health Care To You LLC | Clinic/Center | 4535 Schiff Trail, Silver City, NM 88061 | 2011-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SANTO DOMINGO |
| Zip Code | 87052 |
Please comment or provide details below to improve the information on ROGER L LEONARD.
| 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.