Mary Leyendecker (NPI# 1417322397, PAC ID# 3173826559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417322397 |
| PAC ID by PECOS | 3173826559 |
| Professional Enrollment ID | I20160119000664 |
| Full Name | Mary Leyendecker |
| Organization Legal Name | GOODWILL EASTER SEALS OF MIAMI VALLEY |
| Address |
660 S Main St Dayton OH 45402-2708 |
| Phone Number | 9374614800 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951650944 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 660 S Main St, Dayton, OH 45402-2708 | 9374614800 | GOODWILL EASTER SEALS OF MIAMI VALLEY |
| 2628 Kull Rd, Lancaster, OH 43130-7707 | 6143001878 | FIRST STEP RECOVERY CENTER |
| 1649 Brice Rd, Suite C, Reynoldsburg, OH 43068-2796 | 6143005878 | FIRST STEP RECOVERY CENTER |
| Organization Legal Name | GOODWILL EASTER SEALS OF MIAMI VALLEY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn Cooksey | Clinical Social Worker | Goodwill Easter Seals of Miami Valley | 660 S Main St, Dayton, OH 45402-2708 |
| Street Address |
660 S MAIN ST |
| City | DAYTON |
| State | OH |
| Zip | 45402-2708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn Cooksey | Clinical Social Worker | Goodwill Easter Seals of Miami Valley | 660 S Main St, Dayton, OH 45402-2708 |
| Dario L Lizarraga | Family Medicine | 660 S Main St, Florence, AZ 85132-3052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia G Olsen | Family Medicine | Wright State Physicians Inc | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Katie M Crowder | Family Medicine | Wright State Physicians Inc | 725 S Ludlow St, Dayton, OH 45402-2610 |
| John Gregory Hughes | Internal Medicine | Five Rivers Health Centers | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Mamle Anim | Internal Medicine | Five Rivers Health Centers | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Katelyn Jean Booher | Infectious Disease | Five Rivers Health Centers | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Irina V Overman | Internal Medicine | Wright State Physicians Inc | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Jeremey D Sturgill | Physician Assistant | Five Rivers Health Centers | 725 S Ludlow St, Dayton, OH 45402-2610 |
| Kimberly J Miller | Qualified Audiologist | Southwest Ohio Ent Specialists Inc | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2642 |
| Rachel Diana Liles | Qualified Audiologist | Southwest Ohio Ent Specialists Inc | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2642 |
| Jennifer R Fitzpatrick | Nurse Practitioner | Southwest Ohio Ent Specialists Inc | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2642 |
| Find all physicians in zip 45402 | |||
| City | DAYTON |
| Zip Code | 45402 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAYTON + NURSE PRACTITIONER |
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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.