STEVEN KOUFMAN LECKIE (NPI# 1558537951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558537951 |
| Entity Type | Individual |
| Full Name | STEVEN KOUFMAN LECKIE |
| Credential | MD |
| Practice Address |
41 Resnik Rd Plymouth MA 02360-4842 |
| Mailing Address |
41 Resnik Rd Bay Plymouth MA 02360-4842 |
| Practice Telephone | 7819342400 |
| Practice Fax Number | 5087463930 |
| Mailing Telephone | 7819342400 |
| Mailing Fax Number | 5087463930 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 68935 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD444412 | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MT190275 | PA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
259000 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 95 Tremont St Ste 1, Plymouth Bay Orthopedic Associates, Duxbury, MA 023324738 | 7819345640 | |
| 290 Route 130, Sandwich, MA 025632366 | 7819342400 |
| Street Address |
41 RESNIK RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669445243 | Walter G Stanwood | Neuromusculoskeletal Medicine, Sports Medicine | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-02-13 |
| 1326662875 | Noraa Monitoring Pllc | Electrodiagnostic Medicine | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2020-06-01 |
| 1013349315 | Aaron Beck | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2013-08-08 |
| 1043536865 | Brett Joseph Teran | Physical Medicine & Rehabilitation | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2010-04-19 |
| 1104035302 | Plymouth Bay Orthopedic Associates, Inc. | Occupational Therapist | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2007-05-22 |
| 1043370604 | Julia Anne Kenniston | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-12-12 |
| 1235245135 | R. Scott Oliver | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-08-22 |
| 1912928953 | Eric P Rightmire | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-07-23 |
| 1710934500 | Joseph Frank Zabilski | Orthopaedic Surgery | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-05-27 |
| 1710956198 | Clare P Prescott | Occupational Therapist | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235529272 | Ilbnc, P.a. | Orthopaedic Surgery | 15700 37th Avenue North, Suite 210, Plymouth, MN 55446-3662 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
| 1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
| 1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
| 1558316166 | Boston Spine Group, LLC. | Orthopaedic Surgery | 299 Washington Street, Newton, MA 02458-1612 | 2006-05-23 |
| 1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
| 1285636993 | Louis G Jenis | Orthopaedic Surgery | 299 Washington St, Newton, MA 02458-1612 | 2005-08-12 |
| 1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
| 1679132070 | Boston Orthopedic Spine Care Inc | Orthopaedic Surgery | 822 Boylston St, Chestnut Hill, MA 02467-2595 | 2019-06-10 |
| 1962889295 | Robert J. Banco, Md, PC | Orthopaedic Surgery | 25 Washington St, Unit # 1-b, Wellesley, MA 02481-1752 | 2015-05-06 |
| 1619399961 | Paul Glazer, Md, LLC | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2014-01-06 |
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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.