Deanna L. Leach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

477 Issued in WV

Practice address

134 Industrial Park Rd
Jane Lew, WV 26378-9785

Phone

(304) 884-7880

Fax

(304) 884-8902

NPI assigned

Sep 30, 2009

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1336473826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "address_2": "P. O. BOX 880",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263789785",
            "telephone_number": "304-884-7880",
            "fax_number": "304-884-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263789785",
            "telephone_number": "304-884-7880",
            "fax_number": "304-884-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "DEANNA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01464",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Hughes
• Casey D Jackson, DPT
• Michele Jamison
• Jane Lew Pharmacy, LLC.
• Bernice Keesucker
• Tracy Elizabeth Marple
• Pamela Renee Maxwell, N.P.-C.
• Jeremy Wayne McCarty
• Timothy J McCoy, MA LSW LPC
• Angela M Mills, DO

• Physician Assistant in Jane Lew, WV
• Providers in Jane Lew, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.