DR. THOMAS JOSEPH LEONARD (NPI# 1992774160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992774160 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOSEPH LEONARD |
| Credential | M.D. |
| Practice Address |
2763 Manitowoc Rd Suite B Green Bay WI 54311-6633 |
| Practice Telephone | 9204688288 |
| Practice Fax Number | 9204689887 |
| Mailing Telephone | 9204688288 |
| Mailing Fax Number | 9204689887 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25884-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA # | AL3161445 | 01 |
| WI | 30658900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326161100 | Thomas George Leonard | Dentist | 799 Turnpike Street, North Andover, MA 01845-6130 | 2007-04-09 |
| 1942292958 | Thomas E Leonard | Optometrist | 1911 Sw Gage Blvd, Topeka, KS 66604-3337 | 2005-08-16 |
| 1003817727 | Thomas Michael Leonard | Dentist | 366 Mass Ave, Suite 301, Arlington, MA 02474-6733 | 2005-08-03 |
| 1194728949 | Thomas R Leonard | Family Medicine | 304 Saunders St, Carthage, NC 28327-9343 | 2005-05-24 |
| 1194242933 | Thomas J Leonard | Registered Nurse | 2890 Gateway Oaks Dr Ste 250, Sacramento, CA 95833-4328 | 2017-08-23 |
| 1306262555 | Thomas Joseph Leonard | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2014-03-12 |
| 1831468735 | Thomas Paul Leonard Jr. | Dentist | 12683 W Sunrise Blvd, Sunrise, FL 33323-0907 | 2011-12-21 |
| 1740223676 | Thomas Keller Leonard | Emergency Medicine | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-06-14 |
| 1386603546 | Thomas P. Leonard | Optometrist | 1030 Arch St, 1st Fl, Philadelphia, PA 19107-3011 | 2006-03-17 |
| Street Address |
2763 MANITOWOC RD SUITE B |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801212089 | Melinda C Heimerl | Physical Therapy Assistant | 2763 Manitowoc Rd, Ste B, Green Bay, WI 54311-6633 | 2014-03-11 |
| 1902164221 | Lindsey Charles Krouth | Physical Therapy Assistant | 2763 Manitowoc Rd, Ste B, Green Bay, WI 54311-6633 | 2012-04-24 |
| 1164706511 | Amy Jo Haverkorn | Physical Therapy Assistant | 2763 Manitowoc Rd, Suite B, Green Bay, WI 54311-6633 | 2011-10-04 |
| 1174703235 | Rejaunne M Kubik | Physical Therapist | 2763 Manitowoc Rd, Ste B, Green Bay, WI 54311-6633 | 2007-11-06 |
| 1447203013 | Bellevue Total Health, Sc | Chiropractor | 2763 Manitowoc Rd, Ste B, Green Bay, WI 54311-6633 | 2006-05-18 |
| 1588623482 | Bradley John Kenny | Chiropractor | 2763 Manitowoc Rd, Suite B, Green Bay, WI 54311-6633 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1891061446 | Riley O'hara Meyer | Internal Medicine | 401 N. Washington St., #315, Green Bay, WI 54301 | 2012-03-28 |
| 1811121023 | Kevin Peter Rosteing | Internal Medicine | 2126 William Francis Ct, Green Bay, WI 54311-6352 | 2009-05-04 |
| 1225118235 | Imran R Sheikh | Internal Medicine | 1320 Crystal Cove Trl, Apt 2, Green Bay, WI 54311-4292 | 2006-10-16 |
| 1952418386 | Gowdar Sadishiv Murthy | Internal Medicine | 3000 Ravine Way, Green Bay, WI 54301-1507 | 2006-08-23 |
| 1265452296 | Sheila Waldrop Thiel | Internal Medicine | 2845 Greenbrier Rd Ste 120, Green Bay, WI 54311-6519 | 2006-07-20 |
| 1780644666 | Vijaya K Munagala | Internal Medicine | 744 S Webster Ave Fl 2, Green Bay, WI 54301-3505 | 2006-03-24 |
| 1497721054 | Patricia Elizabeth Sias | Internal Medicine | 1715 Dousman St., Green Bay, WI 54303-3211 | 2006-02-24 |
| 1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| Find all providers in GREEN BAY | ||||
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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.