Kinnard J Leatham (NPI# 1780630392, PAC ID# 6002709235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1780630392 |
| PAC ID by PECOS | 6002709235 |
| Professional Enrollment ID | I20040203000522 |
| Full Name | Kinnard J Leatham |
| Organization Legal Name | COMMONWEALTH PHYSICIAN NETWORK LLC |
| Address |
545 N River St Suite 220 Wilkes Barre PA 18702-2643 |
| Phone Number | 5708192825 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1992 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2668696592 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 545 N River St, Suite 220, Wilkes Barre, PA 18702-2643 | 5708192825 | COMMONWEALTH PHYSICIAN NETWORK LLC |
| Organization Legal Name | COMMONWEALTH PHYSICIAN NETWORK LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip V Savia | Neurology | Commonwealth Physician Network LLC | 670 N River St, Suite 203, Plains, PA 18705-1028 |
| James M Mattucci Jr. | Orthopedic Surgery | Commonwealth Physician Network LLC | 118 E 3rd St, Berwick, PA 18603-3720 |
| Gary Neale | General Surgery | Commonwealth Physician Network LLC | 720 Madison Ave, Scranton, PA 18510-1609 |
| Marci A Kowalewski | Physician Assistant | Commonwealth Physician Network LLC | 263 Carbondale Rd, Waymart, PA 18472-9113 |
| Juan Jose Derojas | Vascular Surgery | Commonwealth Physician Network LLC | 4 E Main St, Nanticoke, PA 18634-1602 |
| Helen Shorten Trygar | Nurse Practitioner | Commonwealth Physician Network LLC | 10 Dundaff St, Carbondale, PA 18407-1869 |
| Angela Marie Stewart | Nurse Practitioner | Commonwealth Physician Network LLC | 4 E Main St, Nanticoke, PA 18634-1602 |
| Kyle Landis | Physician Assistant | Commonwealth Physician Network LLC | 4 E Main St, Nanticoke, PA 18634-1602 |
| Alexa Lee Beretski | Physician Assistant | Commonwealth Physician Network LLC | 4 E Main St, Nanticoke, PA 18634-1602 |
| Chester Charles Yavorski | Vascular Surgery | Commonwealth Physician Network LLC | 4 E Main St, Nanticoke, PA 18634-1602 |
| Street Address |
545 N RIVER ST SUITE 220 |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-2643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akash Deep Agarwal | Neurosurgery | Wilkes-barre Clinic Company LLC | 545 N River St, Suite 240, Wilkes Barre, PA 18702-2643 |
| James V Martino | Pulmonary Disease | 545 N River St, Suite 40, Wilkes Barre, PA 18702-2647 | |
| Gary Decker | Infectious Disease | Wyoming Valley Infectious Disease Assoc, PC | 545 N River St, Suite 205, Wilkes Barre, PA 18702-2623 |
| Melissa A Zambetti | Physician Assistant | Wilkes-barre Clinic Company LLC | 545 N River St, Suite 240, Wilkes Barre, PA 18702-2643 |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lucyann M Sciandra | Infectious Disease | Wyoming Valley Infectious Disease Assoc, PC | 545 N River St, Suite 205, Wilkes Barre, PA 18702-2623 |
| Linda A Slavoski | Infectious Disease | Wyoming Valley Infectious Disease Assoc, PC | 545 N River St, Suite 205, Wilkes Barre, PA 18702-2623 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Pramthesh Kantilal Desai | Pulmonary Disease | 545 N River St, Suite 40, Wilkesbarre, PA 18702-2600 | |
| Michael M Ferraro | Obstetrics/gynecology | 545 N River St, Suite 100, Wilkes Barre, PA 18702-2600 | |
| Jeremy T Celestine | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Lynne Marnee Coslett-charlton | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WILKES BARRE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kinnard J Leatham.
| 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.