GARY JAMES LECLAIR (NPI# 1871518969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871518969 |
| Entity Type | Individual |
| Full Name | GARY JAMES LECLAIR |
| Credential | MD |
| Practice Address |
3100 Martin Luther King Jr Pkwy Springfield OR 97477-7514 |
| Mailing Address |
Po Box 70368 Springfield OR 97475-0120 |
| Practice Telephone | 5414852777 |
| Practice Fax Number | 5412462353 |
| Mailing Telephone | 5414852777 |
| Mailing Fax Number | 5412462353 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | LF00001937 | OR | Behavioral Health & Social Service Providers |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD09743 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 233437 | 05 |
| Street Address |
3100 MARTIN LUTHER KING JR PKWY |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060591 | Kimberly A Bock | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2006-02-06 |
| 1730710930 | Brooklynne Olds Travis | Midwife | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2020-01-28 |
| 1912366519 | Madeleine Katz | Advanced Practice Midwife | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2016-02-11 |
| 1629404843 | Adrienne Fisher | Nurse Practitioner | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2013-09-19 |
| 1114284189 | David Michael Herrmann | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2012-04-16 |
| 1760757900 | Kristy Marie Kelel | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2012-03-21 |
| 1073529293 | Cristin J. Babcock | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2006-07-31 |
| 1457386732 | Susan Trezona | Registered Nurse | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2006-07-12 |
| 1669497756 | Frederick N. Green | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2006-07-12 |
| 1780609842 | Paula H. Jewett | Obstetrics & Gynecology | 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225135171 | Donald P Kratz | Obstetrics & Gynecology | 1135 E Lakewood St, Suite112, Springfield, MO 65810-2434 | 2006-09-20 |
| 1134142987 | Robert Allen Shearer | Obstetrics & Gynecology | 801 Hill St, Springfield, TN 37172-2951 | 2006-07-25 |
| 1629031448 | Howard G Trietsch | Obstetrics & Gynecology | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2006-04-11 |
| 1861454092 | James Lynn Cromwell | Obstetrics & Gynecology | 2121 East High Street, Springfield, OH 45505-1368 | 2006-04-04 |
| 1649540592 | Dr James L Cromwell Md Inc | Obstetrics & Gynecology | 2121 E High St, Springfield, OH 45505-1368 | 2012-01-10 |
| 1821279928 | Dalila D. Harvey -granger | Obstetrics & Gynecology | 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826 | 2007-11-16 |
| 1285789651 | Marilyn Anne Hajar | Obstetrics & Gynecology | 3550 Main St, Suite 201, Springfield, MA 01107-1089 | 2007-01-24 |
| 1710073382 | Ernest E Ertmoed | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-04 |
| 1386744068 | Randolph W. Roller | Obstetrics & Gynecology | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-09-23 |
| 1841398401 | Woman's Clinic, Inc | Obstetrics & Gynecology | 1135 E Lakewood St, Suite112, Springfield, MO 65810-2434 | 2006-09-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.