JAMES G LEATHERMAN (NPI# 1215971775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215971775 |
| Entity Type | Individual |
| Full Name | JAMES G LEATHERMAN |
| Credential | M.D. |
| Practice Address |
4880 Century Plaza Rd Suite 175 Indianapolis IN 46254-5469 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Indianapolis IN 46219-4959 |
| Practice Telephone | 3172162800 |
| Practice Fax Number | 3172162888 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01032109 | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 01032109 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200002510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534214 | James W Leatherman | Internal Medicine | 701 Park Ave S, S1, Minneapolis, MN 55415-1623 | 2006-06-09 |
| Street Address |
4880 CENTURY PLAZA RD SUITE 175 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849112 | Vipin Jain | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5471 | 2006-05-18 |
| 1700349172 | Alison Kaye Paul | Social Worker | 4880 Century Plaza Rd, Indianapolis, IN 46254-5469 | 2019-04-11 |
| 1518348887 | Alyssa M Burkhart | Nurse Practitioner | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2015-06-12 |
| 1922442458 | Catherine Andrea Moya Krumenacker | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2013-04-26 |
| 1366784266 | Peter Anthony Carey | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2013-03-19 |
| 1881955292 | Martin P Kane | Family Medicine | 4880 Century Plaza Rd, Ste 265, Indianapolis, IN 46254-5471 | 2012-06-01 |
| 1487804506 | Indiana University Health, Inc | Pharmacy | 4880 Century Plaza Rd, Suite 150, Indianapolis, IN 46254-5473 | 2008-09-25 |
| 1205919545 | Lawrence Degan | Family Medicine | 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254-5469 | 2006-10-23 |
| 1679663157 | Dolly Rani | Internal Medicine | 4880 Century Plaza Rd, Ste 165, Indianapolis, IN 46254-5475 | 2006-10-13 |
| 1396835401 | Jennifer M Brown | Nurse Practitioner | 4880 Century Plaza Rd, Suite 145, Indianapolis, IN 46254-5472 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| 1306330980 | Brian Paul Wynia | Internal Medicine | 5122 Millwright Ct, Indianapolis, IN 46254-4786 | 2018-06-18 |
| 1053848457 | Hasan Rana | Internal Medicine | 8081 Township Line Rd Ste 202, Indianapolis, IN 46260-2189 | 2017-05-16 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1225581168 | Stepping Stone Institute, LLC | Internal Medicine | 5785 N Delaware St, Indianapolis, IN 46220-2527 | 2016-07-27 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1275985632 | Nour Hamade | Internal Medicine | 702 Rotary Circle, Suite 225, Indianapolis, IN 46202 | 2016-07-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.