David Campbell Leake, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000031 Issued in CT

Practice address

2200 Whitney Ave
Suite 170
Hamden, CT 06518-3691

Phone

(203) 752-3100

Fax

(203) 752-9291

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Branford Internal Medicine LLC

  • Internal Medicine Physician
  • Branford, CT
  • NPI 1124106406
  NPD (past)
• Center for Orthopaedics P.C.

  • Orthopaedic Surgery Physician
  • New Haven, CT
  • NPI 1215916085

  Physician Assistant

  NPD (past)
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1972581999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-752-3100",
            "fax_number": "203-752-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 170",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-752-3100",
            "fax_number": "203-752-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "DAVID",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972581999",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Health Services, LLC
• Laurence B. Kaplan DDS and Ross a. Kaplan DMD, PC.
• Laura Lavoie
• Lisa Lavorgna, LCSW
• Kimberly Leak, LMSW
• Lean on US Home Care, LLC
• Kerstin Gisela Lebel, RBT
• Erika Lecodet, RDH
• Claudia Joyce Leder-Bookspan, LCSW
• Evan Hyunho Lee, DDS

• Physician Assistant in Hamden, CT
• Providers in Hamden, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.