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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
31195 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31602900 | 05 |
Street Address |
13133 N PORT WASHINGTON RD SUITE 122 |
City | MEQUON |
State | WI |
Zip Code | 53097-2419 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 53097 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARK LINUS LEITSCHUH.
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.