BRIANNA CORDELIA LEIGH (NPI# 1952665838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952665838 |
Entity Type | Individual |
Full Name | BRIANNA CORDELIA LEIGH |
Other Name | BRIANNA CORDELLA MACQUEEN |
Credential | MD |
Practice Address |
5225 23rd Ave S Fargo ND 58104 |
Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
Practice Telephone | 7014172575 |
Practice Fax Number | 7014172535 |
Enumeration Date | 2012-06-26 |
Last Update Date | 2019-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
15067 | ND | Allopathic & Osteopathic Physicians |
Street Address |
5225 23RD AVE S |
City | FARGO |
State | ND |
Zip Code | 58104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
1598365819 | Hannah Muehlberg | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-27 |
1174120281 | Sanford Medical Center Fargo | Pharmacy | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-02 |
1932714169 | Ashraf Al-tarifi | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-09-14 |
1821609116 | Heidi Nelson | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-11 |
1689284671 | Lindsay Raye Busse | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-04 |
1356950752 | Jordan Mallery | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-31 |
1093324014 | Dalton James Peaslee | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-27 |
1285243543 | Mathew Gerving | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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/certification - 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 |
---|---|---|---|---|
1346535218 | Samuel Oyewole Ajayi | Pediatrics | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-06-18 |
1659696896 | Steffany Kate Moen | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2010-03-31 |
1568612968 | Mohamed W Mohamed | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2008-09-23 |
1548321953 | Janice M Nicklay Catalan | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2006-12-12 |
1205857422 | Lina Sapiegiene | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-22 |
1487672184 | William M Bellas | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
1720006307 | Stephen N Nelson | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
1770500761 | Waseem Altaf | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-16 |
1699707794 | Pawel A Zieba | Pediatrics | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-07 |
1770558033 | James Hocker | Pediatrics | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-02-21 |
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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.