Michael G Leadbetter (NPI# 1548203623, PAC ID# 3577526664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1548203623 |
| PAC ID by PECOS | 3577526664 |
| Professional Enrollment ID | I20101102000880 |
| Full Name | Michael G Leadbetter |
| Organization Legal Name | PLASTIC SURGERY GROUP INC |
| Address |
340 Thomas More Pkwy Crestview Hills KY 41017-5100 |
| Phone Number | 8593318777 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 9133182223 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360163 | CHRIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4850 Red Bank Rd, Cincinnati, OH 45227-1545 | 5137914440 | PLASTIC SURGERY GROUP INC |
| 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 8593318777 | PLASTIC SURGERY GROUP INC |
| 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 | 5137693223 | PLASTIC SURGERY GROUP INC |
| Organization Legal Name | PLASTIC SURGERY GROUP INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Columbus | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Steven L Robinson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Richard B Williams | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Robert P Hummel Iii | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Shahryar M Tork | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Ryan Wilson | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Gene E Ireland | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 7162 Liberty Centre Dr C, West Chester, OH 45069-2748 |
| Street Address |
340 THOMAS MORE PKWY |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip | 41017-5100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Columbus | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Aishwarya Rushyal Shyamraj | Gastroenterology | Summit Medical Group, Inc. | 340 Thomas More Pkwy, 160a, Crestview Hills, KY 41017-5101 |
| Deborah Ann Truesdell | Nurse Practitioner | Summit Medical Group, Inc. | 340 Thomas More Pkwy, 160a, Crestview Hills, KY 41017-5101 |
| Morgan Renee Ball | Nurse Practitioner | Kendall E. Hansen, M.d., Plc | 340 Thomas More Pkwy, Suite 260, Crestview Hills, KY 41017-5117 |
| Herbert R Roberts | Pain Management | Kendall E. Hansen, M.d., Plc | 340 Thomas More Pkwy, Suite 260, Crestview Hills, KY 41017-5117 |
| Suma Chennubhotla | Gastroenterology | Summit Medical Group, Inc. | 340 Thomas More Pkwy, 160a, Crestview Hills, KY 41017-5101 |
| Richard B Williams | Plastic and Reconstructive Surgery | Plastic Surgery Group Inc | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 |
| Mustapha El Halabi | Gastroenterology | Summit Medical Group, Inc. | 340 Thomas More Pkwy, 160a, Crestview Hills, KY 41017-5101 |
| Charles A Roberts | Pain Management | Kendall E. Hansen, M.d., Plc | 340 Thomas More Pkwy, Suite 260, Crestview Hills, KY 41017-5117 |
| Kendall E Hansen | Anesthesiology | Kendall E. Hansen, M.d., Plc | 340 Thomas More Pkwy, Suite 260, Crestview Hills, KY 41017-5117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | CRESTVIEW HILLS + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.