DR. LESLEY MARIE WEGHORN (NPI# 1821050717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821050717 |
| Entity Type | Individual |
| Full Name | DR. LESLEY MARIE WEGHORN |
| Credential | MD |
| Practice Address |
830 Thomas More Pkwy Suite 200 A Edgewood KY 41017-5102 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593413383 |
| Practice Fax Number | 8595782013 |
| Mailing Telephone | 8593413383 |
| Mailing Fax Number | 8595782013 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 39485 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64103013 | 05 | |
| OH | 259640 | 05 |
| Street Address |
830 THOMAS MORE PKWY SUITE 200 A |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147458 | Allison M Dorman | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-03 |
| 1669096137 | Karle Ann Miller | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-01 |
| 1770061301 | Danielle Wilson | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2018-08-06 |
| 1508304940 | Brad Bolte | Specialist/Technologist | 830 Thomas More Pkwy, Suite 101, Edgewood, KY 41017-5102 | 2017-02-06 |
| 1326490202 | Matthew Scott Jr. | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2016-07-05 |
| 1265884241 | Thomas Brossart | Specialist/Technologist | 830 Thomas More Pkwy, Suite 101, Edgewood, KY 41017-5102 | 2016-07-01 |
| 1619328960 | Michelle Miller | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2016-06-28 |
| 1467822049 | Jessica Vaniglia | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2015-09-25 |
| 1649650334 | Theresa Behan | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2015-06-08 |
| 1386058923 | Adam William Reis | Pediatrics | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2014-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699905927 | Edgewood Pediatric Clinic L.L.C. | Pediatrics | 2 Eunice Ct Bldg B, Edgewood, NM 87015-9108 | 2009-07-21 |
| 1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
| 1033203419 | Judy H. Lui | Pediatrics | 1950-c Old Route 66, Edgewood, NM 87015 | 2006-10-03 |
| 1043283179 | Lisa Williams Miller | Pediatrics | 108 Beech Dr., Edgewood, KY 41017 | 2006-02-09 |
| 1194701045 | Griffith Ernest Quinby Jr. | Pediatrics | 233 Colony Dr., Edgewood, KY 41017-2636 | 2005-12-21 |
| 1386058923 | Adam William Reis | Pediatrics | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2014-06-11 |
| 1750453585 | Joya Heart | Pediatrics | 483 S Loop Rd, Edgewood, KY 41017-5446 | 2006-11-15 |
| 1760447619 | Jeffrey Thomas Janning | Pediatrics | 830 Thomas More Pkwy, Suite 200 A, Edgewood, KY 41017-5102 | 2006-04-20 |
| 1598739849 | Pediatric Care of Kentucky Psc | Pediatrics | 20 Medical Village Dr, Suite 102, Edgewood, KY 41017-5401 | 2006-02-14 |
| 1679546725 | Christopher Samuel Adley | Pediatrics | 20 Medical Village Dr, Ste 102, Edgewood, KY 41017-5401 | 2006-02-09 |
| Find all providers in EDGEWOOD | ||||
Please comment or provide details below to improve the information on DR. LESLEY MARIE WEGHORN.
| 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.