THORSTEN MARTIN LEUCKER


Address: 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735
Phone: 4106140543

THORSTEN MARTIN LEUCKER (NPI# 1013206119) 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) 1013206119
Entity Type Individual
Full Name THORSTEN MARTIN LEUCKER
Credential M.D.
Practice Address 4940 Eastern Ave Ste 2400
Baltimore
MD 21224-2735
Mailing Address 9910 Franklin Square Dr
Baltimore
MD 21236-4902
Practice Telephone 4106140543
Practice Fax Number 4103672406
Mailing Telephone 4109336423
Mailing Fax Number 4109331390
Enumeration Date 2011-03-30
Last Update Date 2018-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
D84474 MD Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
550 S Jackson St, Louisville, KY 402021622 5028525241

Office Location

Street Address 4940 EASTERN AVE STE 2400
City BALTIMORE
State MD
Zip Code 21224-2735

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285113704 Lifebridge Community Physicians, Inc Internal Medicine 940 Madison Avenue First Floor, Baltimore, MD 27201 2018-08-07
1457606196 Bon Secours Baltimore Physician Group LLC Internal Medicine 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 2012-07-18
1407119712 Yitzhak Rosen Internal Medicine Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 2012-06-21
1003115387 Tolulope Adesiyun Agunbiade Internal Medicine 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 2011-03-25
1932401544 Esther Sung Hee Pak Internal Medicine 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 2010-12-02
1598990780 Boon Yew Tan Internal Medicine 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 2009-05-18
1548494529 Mansoor Mozayan Internal Medicine 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 2009-05-06
1083880876 John Rickard Internal Medicine 301 Mason Lord Dr, Baltimore, MD 21224-3057 2008-05-01
1639362247 Ramanather Sirithara, M.d., P.a. Internal Medicine 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 2007-08-27
1629128830 Peter V Johnston Internal Medicine 600 N Wolfe Street Carnegie 568, Baltimore, MD 21287-0001 2007-01-11
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Competitor

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City BALTIMORE
Zip Code 21224

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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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