DR. SARA BETH LEITHEISER (NPI# 1346804960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346804960 |
| Entity Type | Individual |
| Full Name | DR. SARA BETH LEITHEISER |
| Credential | MD |
| Practice Address |
764 Pine St Macon GA 31201-2107 |
| Practice Telephone | 7863310564 |
| Mailing Telephone | 7863310564 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 11259 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 N Wilson St, Ulysses, KS 678801950 | 7196407731 |
| Street Address |
764 PINE ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629045554 | Gregory Eilers | Family Medicine | 764 Pine St, Macon, GA 31201-2107 | 2006-02-28 |
| 1255996088 | Monae Marie Fennell | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-05-07 |
| 1336602770 | Gregory Paul Morgan | Internal Medicine | 764 Pine St, Macon, GA 31201 | 2019-04-11 |
| 1356804041 | Sunny Dilipkumar Dattani | Internal Medicine | 764 Pine St, Macon, GA 31201-2107 | 2019-04-09 |
| 1962964320 | Juliet Emily Nonnemacher | Pediatrics | 764 Pine St, Macon, GA 31201-2107 | 2019-04-04 |
| 1447712005 | Mariana Ellington | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-04-03 |
| 1811459555 | Joa Alexis Allen | Obstetrics & Gynecology | 764 Pine St, Macon, GA 31201-2107 | 2019-04-02 |
| 1780146308 | Nafis Islam | Internal Medicine | 764 Pine St, Macon, GA 31201 | 2019-04-02 |
| 1942762802 | Victoria Walker | Internal Medicine | 764 Pine St, Macon, GA 31201-2107 | 2019-04-01 |
| 1619441987 | Patrick Sean Kinsella | Internal Medicine | 764 Pine St, Macon, GA 31201-2107 | 2019-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302852 | Louis Wayne Goolsby | Obstetrics & Gynecology | 6605 Britt Rd, Macon, GA 31216-6031 | 2018-07-05 |
| 1396002572 | Christina Marie Cox | Obstetrics & Gynecology | 380 Hospital Dr Ste 440, Macon, GA 31217-8014 | 2012-04-12 |
| 1841580099 | Cynthia S Roland | Obstetrics & Gynecology | 840 Pine St Ste 990, Macon, GA 31201-7500 | 2011-04-08 |
| 1255668182 | Lauren Hollman Fried | Obstetrics & Gynecology | 682 Hemlock St Ste 300, Macon, GA 31201-8310 | 2009-11-13 |
| 1164663175 | The Womens Center of Central Georgia | Obstetrics & Gynecology | 427 Poplar St, Macon, GA 31201-3335 | 2009-03-20 |
| 1043468275 | Nnaemeka M Umerah | Obstetrics & Gynecology | 4050 Riverside Drive, Macon, GA 31210-1805 | 2008-08-29 |
| 1609053248 | Patrice Nicole Walker | Obstetrics & Gynecology | 777 Hemlock St # 117, Macon, GA 31201-2102 | 2008-01-25 |
| 1255430906 | William Butler | Obstetrics & Gynecology | 4075 Elnora Dr, Macon, GA 31210-1822 | 2006-09-21 |
| 1124007216 | Ephraim C Ahanonu | Obstetrics & Gynecology | 611 Monroe Street, Macon, GA 31201 | 2006-01-17 |
| 1043200694 | Teresa Major Luhrs | Obstetrics & Gynecology | 1062 Forsyth St Ste 2a, Macon, GA 31201-8639 | 2005-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.