Kevin J Leonard (NPI# 1144213661, PAC ID# 2769459254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1144213661 |
| PAC ID by PECOS | 2769459254 |
| Professional Enrollment ID | I20100416000693 |
| Full Name | Kevin J Leonard |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Address |
2134 14th Ave Circle Nw Suite D Hickory NC 28601-7356 |
| Phone Number | 8285801235 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436159712 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340075 | CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2134 14th Ave Circle Nw, Suite D, Hickory, NC 28601-7356 | 8285801235 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 2201 S Sterling St, Suite 200, Morganton, NC 28655-4044 | 8285807536 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 37% |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Minai Movaghar | Geriatric Medicine | Blue Ridge Healthcare Medical Group Inc | 111 Foothills Dr, Suite B, Morganton, NC 28655-5123 |
| Gregory J Antal | Physical Therapy | Blue Ridge Healthcare Medical Group Inc | 348 Grace Corpening Dr, Marion, NC 28752-5864 |
| Barbara A Nagy | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 2659 Us 70, Valdese, NC 28690-9517 |
| Lisa T Mangum | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 111 B Foothills Dr, Morganton, NC 28655-5123 |
| Matthew T Mishoe | Gastroenterology | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 |
| Emily C Diggs | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Cir Nw, Hickory, NC 28601-7357 |
| Galen M Edwards | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 695 W Fleming Dr, Morganton, NC 28655-4450 |
| Lauren O Lippard | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 109 Foothills Dr, Morganton, NC 28655-5152 |
| Carolyn Vance Gordon | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 117 Foothills Dr, Morganton, NC 28655-5152 |
| Jill N Konkol | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 1766 Connelly Springs Rd, Lenoir, NC 28645-7827 |
| Street Address |
2134 14TH AVE CIRCLE NW SUITE D |
| City | HICKORY |
| State | NC |
| Zip | 28601-7356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Glowacki | Diagnostic Radiology | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Circle Nw, Suite D, Hickory, NC 28601-7356 |
| Grady Van Shue Jr. | Diagnostic Radiology | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Circle Nw, Suite D, Hickory, NC 28601-7356 |
| Andrew T Shannon | Diagnostic Radiology | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Circle Nw, Suite D, Hickory, NC 28601-7356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Boni L Killian | Nurse Practitioner | Catawba Valley Medical Group Inc | 212 29th Ave Ne, Hickory, NC 28601-1084 |
| Danielle M Wood | Nurse Practitioner | Catawba Valley Medical Group Inc | 212 29th Ave Ne, Hickory, NC 28601-1084 |
| Gretchen E Cheung | Physical Therapy | Kinetic Physical Therapy and Sports Rehabilitation, Inc | 3048 N Ctr St, Hickory, NC 28601-1101 |
| Alan Cheung | Physical Therapy | Kinetic Physical Therapy and Sports Rehabilitation, Inc | 3048 N Ctr St, Hickory, NC 28601-1101 |
| Reginald Graham Moore Jr. | Family Medicine | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Penny J Matlock | Nurse Practitioner | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Charles W Mckaraher | Emergency Medicine | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Michael S Brashear | Physician Assistant | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Nicole E Harris | Physician Assistant | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Marcus T Hinceman | Nurse Practitioner | Catawba Valley Medical Group Inc | 2972 N Ctr St, Hickory, NC 28601-1159 |
| Find all physicians in zip 28601 | |||
| City | HICKORY |
| Zip Code | 28601 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HICKORY + DIAGNOSTIC RADIOLOGY |
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| 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.