| 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 | 5 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 |
|---|---|---|
| Covenant Anesthesia Group Pc | 6901795830 | 192 |
| Entity Name | Covenant 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 | |
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |