DR. JEFFRIE C LEIBOVITZ (NPI# 1760463681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760463681 |
Entity Type | Individual |
Full Name | DR. JEFFRIE C LEIBOVITZ |
Credential | D.P.M. |
Practice Address |
9505 E 59th St Suite A Indianapolis IN 46216-1025 |
Practice Telephone | 3175450505 |
Practice Fax Number | 3175450506 |
Mailing Telephone | 3175450505 |
Mailing Fax Number | 3175450506 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2008-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 07000550A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MPLAN IDENTIFIER | 000000002077 | 01 |
IN | TRICARE IDENTIFIER | 1006619 | 01 |
IN | TAX ID # | 35-1619801 | 01 |
IN | ANTHEM BCBS ID # | 00000313730 | 01 |
IN | MEDICARE RAILROAD # | 480003471 | 01 |
Street Address |
9505 E 59TH ST SUITE A |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46216-1025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417270869 | Vikram Jhanji | Physical Therapist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2010-03-12 |
1669668448 | Jennifer Terry Summers | Speech-Language Pathologist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2007-09-14 |
1558556464 | Sherri Ann Turner | Physical Therapist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2007-09-13 |
1992899272 | Kristin L Kouka | Speech-Language Pathologist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2006-10-03 |
1689600801 | Premiere Rehab, LLC | Speech-Language Pathologist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2006-06-23 |
1528019718 | Chenin Kae Chestnut | Occupational Therapist | 9505 E 59th St, Suite B1, Indianapolis, IN 46216-1025 | 2006-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
Find all providers in zip 46216 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194107607 | Mark Wavrunek | Podiatrist | 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 | 2015-06-19 |
1639300486 | Paul M Kanter | Podiatrist | 348 Woodrow Ave, Indianapolis, IN 46241-0828 | 2009-07-28 |
1629208103 | Kenneth P Stumpf | Podiatrist | 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 | 2009-07-20 |
1992960124 | Eugenia C Malenkos | Podiatrist | 1410 West 10th Street, Indianapolis, IN 46202-1616 | 2008-07-28 |
1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
1093988263 | Jeremy Patrick Spaulding | Podiatrist | 8128 E Washington St, Indianapolis, IN 46219-6814 | 2008-04-09 |
1306018767 | Robert S. Mandresh Dpm PC Inc | Podiatrist | 8330 Naab Rd Ste 135, Indianapolis, IN 46260-1932 | 2008-03-26 |
1285837773 | Beech Grove Foot Care Inc | Podiatrist | 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 | 2007-06-11 |
1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
1447329826 | Thomas Wayne Zunica | Podiatrist | 3901 Meadows Dr, Indianapolis, IN 46205-3113 | 2006-11-07 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46216 |
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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.