MR. TIMOTHY MICHAEL LEICHT (NPI# 1831472067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831472067 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL LEICHT |
| Credential | PA-C |
| Practice Address |
335 Radcliffe St. Physician Assistant Surgical Associates, LLC Bristol PA 19007 |
| Mailing Address |
7300 Johnson Farm Ln Apt 217 Chadds Ford PA 19317-9076 |
| Practice Telephone | 2155898718 |
| Practice Fax Number | 8883703385 |
| Mailing Telephone | 4844339161 |
| Mailing Fax Number | 8883703385 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA055110 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055110 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA055110 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
335 RADCLIFFE ST. PHYSICIAN ASSISTANT SURGICAL ASSOCIATES, LLC |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1447560180 | Ashley L Pacheco | Physical Therapist | 100 Green Lane, Bristol, PA 19007 | 2010-10-15 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033252 | Amanda Jean Lutz | Physician Assistant | 335 Radcliffe St, Bristol, PA 19007-5015 | 2011-07-28 |
| 1780846428 | Damon Troy Bartley | Physician Assistant | One Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2008-06-25 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1992348254 | Bethanie Patton | Physician Assistant | 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 | 2019-10-18 |
| 1144773524 | Christopher M Haniford | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2016-08-02 |
| 1912385980 | Alison Joyce | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-05-11 |
| 1265824379 | Joseph Ambrogio | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-02-26 |
| 1104228022 | Christopher Tagliavini | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2014-09-23 |
| 1265831093 | Dena A. Skowronski | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2014-08-18 |
| Find all providers in BRISTOL | ||||
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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.