Thomas A Leavens (NPI# 1114910460, PAC ID# 2163559410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1114910460 |
| PAC ID by PECOS | 2163559410 |
| Professional Enrollment ID | I20100420000039 |
| Full Name | Thomas A Leavens |
| Organization Legal Name | CLINICAL NEUROSCIENCE PA |
| Address |
1307 8th Ave Suite 408 Fort Worth TX 76104-4143 |
| Phone Number | 8179214191 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1990 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5991737926 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1307 8th Ave, Suite 408, Fort Worth, TX 76104-4143 | 8179214191 | CLINICAL NEUROSCIENCE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CLINICAL NEUROSCIENCE PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlece Scoma Hughes | Neurology | Clinical Neuroscience Pa | 1307 8th Ave, Suite 408, Fort Worth, TX 76104-4143 |
| Victoria Nwosu | Neurology | Clinical Neuroscience Pa | 1307 8th Ave, Suite 408, Fort Worth, TX 76104-4143 |
| Gregg A Shalan | Neurology | Clinical Neuroscience Pa | 221 W Colorado Blvd Pav, 2 Suite 537, Dallas, TX 75208-2306 |
| Street Address |
1307 8TH AVE SUITE 408 |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Vigness | Cardiac Surgery | 1307 8th Ave, Suite 601, Fort Worth, TX 76104-4142 | |
| Mary Milam | Medical Oncology | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | |
| April D Grimes | Clinical Social Worker | Alliance Child and Family Solutions LLC | 1307 8th Ave, Suite 310, Fort Worth, TX 76104-4140 |
| Thomas M Ratino | Interventional Pain Management | Texas Health Care Pllc | 1307 8th Ave, Suite 506, Fort Worth, TX 76104-4142 |
| Timothy P. Ratino | Interventional Pain Management | Texas Health Care Pllc | 1307 8th Ave, Suite 506, Fort Worth, TX 76104-4142 |
| Vandana Mall | Nurse Practitioner | Texas Health Care Pllc | 1307 8th Ave, Suite 506, Fort Worth, TX 76104-4142 |
| Charlece Scoma Hughes | Neurology | Clinical Neuroscience Pa | 1307 8th Ave, Suite 408, Fort Worth, TX 76104-4143 |
| Melanie C Barron | Rheumatology | American Arthritis and Rheumatology Associates-tx Pllc | 1307 8th Ave, Suite 502, Ft Worth, TX 76104-4137 |
| Karen M Grant | Family Medicine | Texas Health Care Pllc | 1307 8th Ave, Suite 106, Fort Worth, TX 76104-4141 |
| Sherry R Kondziela | Physical Medicine and Rehabilitation | 1307 8th Ave, Suite 100, Fort Worth, TX 76104-4140 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | NEUROLOGY |
| City + Specialty | FORT WORTH + NEUROLOGY |
Please comment or provide details below to improve the information on Thomas A Leavens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.