Leslie M Spain (NPI# 1740436674, PAC ID# 6204975642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740436674 |
| PAC ID by PECOS | 6204975642 |
| Professional Enrollment ID | I20091125000121 |
| Full Name | Leslie M Spain |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Address |
743 S Ave Bridgeport CT 06604-5810 |
| Phone Number | 2033306010 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466445200 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 743 S Ave, Bridgeport, CT 06604-5810 | 2033306010 | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | SOUTH-WEST COMMUNITY HEALTH CENTER, INC. |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mraz | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Djana Harp | Obstetrics/gynecology | South-west Community Health Center, Inc. | 510 Clinton Ave, Bridgeport, CT 06605-1701 |
| Julianne Y Icatar | Obstetrics/gynecology | South-west Community Health Center, Inc. | 762 Lindley St, Bridgeport, CT 06606-5046 |
| Nicole A Altbaum-nash | Clinical Social Worker | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Pierre H Estime | Family Medicine | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Lachanna R Evans | Nurse Practitioner | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Latoya Smith | Nurse Practitioner | South-west Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 |
| Charles P Alexander | Psychiatry | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Mary Lucia | Obstetrics/gynecology | South-west Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 |
| Frances U Ogudebe | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Street Address |
743 S AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06604-5810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Mraz | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Frances U Ogudebe | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Monika Jean Maclean | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Emily T Carter | Nurse Practitioner | South-west Community Health Center, Inc. | 743 S Ave, Bridgeport, CT 06604-5810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie F Marotto | Qualified Audiologist | 4000 Park Ave, Bridgeport, CT 06604-1047 | |
| Vittoria G Gassman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Kenneth Fine | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Maxine L Walsh | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Pamela B Hoffman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Caitlin R Conway | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Lynda K Catuccio | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Helen S Karchere | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Rachel M Triplett | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Sheila T Watts | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Find all physicians in zip 06604 | |||
| City | BRIDGEPORT |
| Zip Code | 06604 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRIDGEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Leslie M Spain.
| 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.