Jonathan Lee Gleason
Obstetrician & Gynecologist Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
101 Elm Ave Se
Roanoke
, Virginia 24013-2222
Jonathan Lee Gleason
Obstetrician & Gynecologist Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
101 Elm Ave Se
Roanoke
, Virginia 24013-2222
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Jonathan Lee Gleason
- 101 Elm Ave Se
- Roanoke, VA
- Zip : 24013-2222
- Phone :
Second Address
- Jonathan Lee Gleason
- 101 Elm Ave Se
- Roanoke, VA
- Zip : 24013-2222
- Phone : (540) 985-4099
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | MT186681 | PA |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101251665 | VA |
| N | 207VG0400X | Gynecologist | 0101251665 | VA |
| N | 207VG0400X | Gynecologist | 29368 | AL |
National Provider Identifier
| NPI | 1780749820 |
|---|---|
| Provider Name | Jonathan Lee Gleason |
| First Address | Roanoke, VA 24013-2222 |
| Second Address | Roanoke, VA 24013-2222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 28/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02536526 | (05) | MS |
| 113528 | (05) | AL |
| 113530 | (05) | AL |
| 113533 | (05) | AL |
| 51599089 | BLUE CROSS (01) | AL |
| 51599090 | BLUE CROSS (01) | AL |
| 51599092 | BLUE CROSS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.