DR. JEFFRIE C LEIBOVITZ


Address: 9505 E 59th St, Suite A, Indianapolis, IN 46216-1025
Phone: 3175450505

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 07000550A IN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

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

Office Location

Street Address 9505 E 59TH ST
SUITE A
City INDIANAPOLIS
State IN
Zip Code 46216-1025

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City INDIANAPOLIS
Zip Code 46216

Improve Information

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Dataset Information

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.

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