MICHAEL J. LEIDING (NPI# 1063447795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063447795 |
| Entity Type | Individual |
| Full Name | MICHAEL J. LEIDING |
| Credential | MD |
| Practice Address |
8405 W Alameda Ave Lakewood CO 80226-2908 |
| Mailing Address |
Innovage Lowry Attn:gayle Washington-credentialing 8950 E Lowry Blvd Denver CO 80230-7030 |
| Practice Telephone | 7209745400 |
| Mailing Telephone | 3039127193 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
DR.0057326 | CO | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036109751 | IL | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
DR.0057326 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1725 W Harrison St, Suite 955, Chicago, IL 606123824 | 3129427030 | 3125634212 |
| Street Address |
8405 W ALAMEDA AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658955 | Judith Kay Russell | Registered Nurse | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2006-02-15 |
| 1639770183 | Total Longterm Care, Inc | PACE Provider Organization | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2020-11-02 |
| 1508334913 | Maki Ishizu | Dietitian, Registered | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-11-05 |
| 1205303559 | Melissa R Mayer | Dietitian, Registered | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-10-25 |
| 1609341148 | Kari Rawlings | Occupational Therapist | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-10-11 |
| 1568947919 | Sara Brunken | Occupational Therapist | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-10-02 |
| 1548745987 | Kendra Salfer | Occupational Therapist | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-10-02 |
| 1225513641 | Kristin Alyce Beveridge | Occupational Therapist | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2018-10-02 |
| 1366860579 | Natalie Marie Berner | Student in an Organized Health Care Education/Training Program | 8405 W Alameda Ave, Lakewood, CO 80226 | 2014-04-03 |
| 1891094074 | Joseph Douglas Johnson | Internal Medicine | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2011-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306226550 | Chelsea Ann Springer | Internal Medicine | 11700 W 2nd Pl, Med Plaza 2 Ste 450, Lakewood, CO 80228-1719 | 2015-06-03 |
| 1972638039 | Shore Medicine LLC | Internal Medicine | 1255 Highway 70, Suite 24-s, Lakewood, NJ 08701-5900 | 2007-02-22 |
| 1679596605 | Thomas D Cain | Internal Medicine | 11700 W 2nd Pl, Suite 4-450, Lakewood, CO 80228-1573 | 2006-07-25 |
| 1558310706 | David Wallack | Internal Medicine | 11700 W 2nd Pl, #4-450, Lakewood, CO 80228-1704 | 2006-05-08 |
| 1952350100 | Geriatric Medicine Associates, PC | Internal Medicine | 11700 W 2nd Pl, Plaza II Ste 450, Lakewood, CO 80228-1704 | 2006-05-07 |
| 1790751147 | Robin R Gunning | Internal Medicine | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2006-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151934 | Geriatric Medicine Associates, PC | Internal Medicine | 500 W 144th Ave Ste 140, Westminster, CO 80023-9326 | 2020-10-15 |
| 1609241264 | Goodness Health, LLC | Internal Medicine | 6816 W 84th Cir Unit 36, Arvada, CO 80003-1139 | 2015-12-08 |
| 1932528247 | Ian Reynolds | Internal Medicine | 13001 E 17th Pl # P, Aurora, CO 80045-2570 | 2014-04-15 |
| 1801037726 | Elizabeth Suzanne Clarke | Internal Medicine | 301 W 6th Ave # Mc3251, Wellington E Webb Center for Primary Care, Denver, CO 80204-5182 | 2009-03-23 |
| 1528232402 | Shalom Park Professional Services LLC | Internal Medicine | 14800 E Belleview Drive, Aurora, CO 80015-2258 | 2008-04-22 |
| 1023297579 | Long Term Care & Rehab Consultants, LLC | Internal Medicine | 5792 Cole Ct, Arvada, CO 80002-1155 | 2007-11-01 |
| 1811176688 | Preferred Provider Services | Internal Medicine | 8200 S Quebec St Ste A3-313, Centennial, CO 80112-4411 | 2007-10-30 |
| 1821289752 | William A Solomon, Md, P.C. | Internal Medicine | 3140 S Peoria St # 266, Aurora, CO 80014-3178 | 2007-08-06 |
| 1124223847 | Pamela Tyrrell Md PC | Internal Medicine | 1305 Krameria St # H143, Denver, CO 80220-2743 | 2007-06-21 |
| 1962524942 | Fred Michael Feinsod | Internal Medicine | 9 Alta Vista Rd, Colorado Springs, CO 80906-4202 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL J. LEIDING.
| 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.