FREDERICK E LEICKLY (NPI# 1679682710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679682710 |
| Entity Type | Individual |
| Full Name | FREDERICK E LEICKLY |
| Credential | MD |
| Practice Address |
815 Schnier St Columbus IN 47201-2619 |
| Mailing Address |
Po Box 603725 Charlotte NC 28260-3725 |
| Practice Telephone | 8123783131 |
| Practice Fax Number | 8123799251 |
| Mailing Telephone | 8285752625 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 01042436A | IN | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
01042436 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100379150 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 462025109 | 3172747208 | 3172743442 |
| Street Address |
815 SCHNIER ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114954922 | Brian M Kline | Internal Medicine | 815 Schnier St, Columbus, IN 47201-2619 | 2006-06-27 |
| 1114432754 | Allergy Partners, Pllc | Allergy & Immunology | 815 Schnier St, Columbus, IN 47201-2619 | 2017-12-05 |
| 1811373657 | Himani Sharma | Internal Medicine | 815 Schnier St, Columbus, IN 47201-2619 | 2015-08-04 |
| 1043239684 | Robert W Petry | Allergy & Immunology | 815 Schnier St, Columbus, IN 47201-2619 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740494079 | Allergy Associates PC | Allergy & Immunology | 815 Schnier Street, Columbus, IN 47201-2619 | 2007-05-09 |
| 1447398599 | Allergy & Asthma Inc | Allergy & Immunology | 5965 E Broad St Ste 320, Columbus, OH 43213-1562 | 2007-02-01 |
| 1003993098 | Hiresadarahalli C Nataraj | Allergy & Immunology | 5965 East Broad Street, Suite 320, Columbus, OH 43213 | 2006-11-01 |
| 1982785895 | Robert Richard Chrzanowski | Allergy & Immunology | 1220 Brookstone Centre Pkwy, Columbus, GA 31904-2954 | 2006-10-18 |
| 1346287976 | Jennifer Zane Bullock | Allergy & Immunology | 170 Northwoods Blvd Ste 120, Columbus, OH 43235-4711 | 2006-06-01 |
| 1942270111 | Philip N Rancitelli | Allergy & Immunology | 6573 E Broad St, Suite A, Columbus, OH 43213 | 2006-01-23 |
| 1790755957 | Douglas P Boldon | Allergy & Immunology | 8080 Ravines Edge Ct, Columbus, OH 43235-5424 | 2006-01-23 |
| 1134199300 | Donald L Mcneil | Allergy & Immunology | 8080 Ravines Edge Ct Ste 100, Columbus, OH 43235-5424 | 2006-01-23 |
| 1144220690 | Thomas A Kiefer | Allergy & Immunology | 500 E Main St, Ste. 110, Columbus, OH 43215-5369 | 2005-07-27 |
| 1114432754 | Allergy Partners, Pllc | Allergy & Immunology | 815 Schnier St, Columbus, IN 47201-2619 | 2017-12-05 |
| Find all providers in COLUMBUS | ||||
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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.