Leah Alexis Dogan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1812 Issued in AL

Practice address

401 Towncenter Blvd Ste B
Tuscaloosa, AL 35406-1822

Phone

(205) 391-9038

Fax

(205) 391-4688

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Menard, Plastic Surgery LLCGroup PAC ID 3971601139, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Menard, Plastic Surgery LLC

  • Plastic Surgery Physician
  • Tuscaloosa, AL
  • NPI 1306053327
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1639740475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 YORKSHIRE LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062859",
            "telephone_number": "205-535-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNCENTER BLVD STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061822",
            "telephone_number": "205-391-9038",
            "fax_number": "205-391-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGAN",
        "first_name": "LEAH",
        "middle_name": "ALEXIS",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frank Dishuck, MD
• Diversified Medical Specialties Inc
• Kim E. Dixon, PHD
• Taryn Dockery
• Gabriella Doescher
• William Lance Dogan
• Thomas Zachary Doherty, LAT, ATC
• Jayne Goolsby Donaldson, PT
• Robert Michael Donlan, D.O.
• Dorn Counseling Services LLC

• Physician Assistant in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.