Joshua O Leatherwood, CRNA | |
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | |
(865) 309-0746 | |
Not Available |
Full Name | Joshua O Leatherwood |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 6965 Cumberland Gap Pkwy, Harrogate, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669089835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 31351 (Tennessee) | Primary |
163W00000X | Registered Nurse | 219852 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Parkwest Medical Center | Knoxville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mmc Anesthesia Group, Pc | 6901795830 | 180 |
Entity Name | Mmc Anesthesia Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Entity Name | American Anesthesiology Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
---|---|
Joshua O Leatherwood, CRNA 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: () - | Joshua O Leatherwood, CRNA 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (865) 309-0746 |
Alec Wiscombe, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611 | |
Aneesa Ennab, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-6324 | |
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |