MARK LINUS LEITSCHUH


Address: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419
Phone: 2622433700

MARK LINUS LEITSCHUH (NPI# 1336217066) 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) 1336217066
Entity Type Individual
Full Name MARK LINUS LEITSCHUH
Credential MD
Practice Address 13133 N Port Washington Rd
Suite 122
Mequon
WI 53097-2419
Mailing Address 4425 N Port Washington Rd
Attn: Csmcp Clinic Credentialing
Glendale
WI 53212-1082
Practice Telephone 2622433700
Practice Fax Number 2622433701
Mailing Telephone 2622433700
Mailing Fax Number 2622433701
Enumeration Date 2006-12-01
Last Update Date 2012-06-12
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
31195 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 31602900 05

Office Location

Street Address 13133 N PORT WASHINGTON RD
SUITE 122
City MEQUON
State WI
Zip Code 53097-2419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982605226 James Joseph Ansfield Internal Medicine 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 2005-08-09
1558713743 Patrick M Schroeder Physician Assistant 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 2016-07-12
1336506021 The Sleep Wellness Institute Inc Clinic/Center 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097-2419 2016-01-26
1770968521 Patricia Kay Nelson Nurse Practitioner 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 2015-07-22
1497162317 Kaitlin R. Ziemke Nurse Practitioner 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 2014-07-14
1578827960 Elona Como Physician Assistant 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 2012-06-29
1861754715 Catherine Powers Zellmer Physician Assistant 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 2012-06-15
1326357815 Erika L Mantsch Physician Assistant 13133 N Port Washington Rd, Suite G-16, Mequon, WI 53097-2419 2010-09-30
1518271956 Csm Community Physician Clinic/Center 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 2010-07-27
1285962605 Candace Moore Nurse Practitioner 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 2009-11-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851512982 Wendy S Balister Dietitian, Registered 13111 North Port Washington Rd, Mequon, WV 53097 2007-05-02
1902985922 Lisa Lang Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2006-11-02
1003915570 Joan T Gnadt Internal Medicine 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 2006-09-21
1255439097 Susan J Riegg Pathology 13111 N Port Washington Road, Mequon, WI 53097 2006-09-20
1891808887 Gregory Eric Custer Dentist 13615 N Cedarburg Road, Mequon, WI 53097 2006-08-16
1114958600 Richard K Karr Orthopaedic Surgery 13133n Port Washington Road, #216, Mequon, WI 53097 2006-07-05
1548204712 Lauretta Lyon Schears Occupational Therapist 13111 N. Portwashington Rd, Mequon, WI 53097 2006-06-16
1235173337 Sarah Marie Neman Physical Therapy Assistant 13111 N Prot Washington Rd., Mequon, WI 53097 2006-06-16
1538103643 Elizabeth Gral Sullivan Speech-Language Pathologist 13111 North Port Washington Road, Mequon, WI 53097 2006-06-16
1952808701 Lisa Lang LLC Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2018-04-09
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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
1003915570 Joan T Gnadt Internal Medicine 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 2006-09-21
1770505885 Wilson Heart Care Associates Ltd Internal Medicine 1330 W Towne Square Rd, Mequon, WI 53092-5046 2006-07-25
1164611497 Joan T. Harney Gnadt, Md, Sc Internal Medicine 13133 N Port Washington Rd, Suite 11, Mequon, WI 53097 2007-10-23
1003828054 Cardiographics Physicians St. Mary's Ozaukee Internal Medicine 13111 N Port Washington Rd, Mequon, WI 53097-2416 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215414727 Telemedico Physicians of Wisconsin Sc Internal Medicine 301 S Bedford St Ste 1, Madison, WI 53703-3691 2018-07-26
1649682667 James King Internal Medicine 4540 S Sommerset Dr, New Berlin, WI 53151-6876 2014-05-26
1548686470 Cullinane Cardiovascular Consultants, Sc Internal Medicine 317 N Lake Rd, Oconomowoc, WI 53066-7101 2014-03-17
1235492455 David James Coulter Internal Medicine 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 2012-06-21
1619234937 Daniel R Harland Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 2012-04-12
1295053106 Setu D Trivedi Internal Medicine 10400 75th St Ste 212, Kenosha, WI 53142 2010-05-17
1336467554 Expert Care Inc Internal Medicine 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 2010-05-12
1548582547 Moe Zafarani Internal Medicine 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 2010-02-18
1073844932 James Harry Thomsen Internal Medicine 7709 Twinflower Dr, Madison, WI 53719-4544 2010-01-15
1740419019 Thomas James Karras Internal Medicine 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 2009-07-08
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City MEQUON
Zip Code 53097

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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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