Active NPI
Joseph S. Leithold, M.D., LLC
- Family Medicine Physician
- Dayton, OH
National Provider Identifier
1003097403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35070285
- Legal business name
- JOSEPH S. LEITHOLD, M.D., LLC
- Practice address
- 4235 Indian Ripple Rd
Suite 210
Dayton, OH 45440-3284 - Phone
- (937) 427-9202
- Fax
- (937) 427-9671
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Scott Leithold, M.D.
- Title
- President
- Phone
- (937) 427-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35070285 | OH | Primary |
Addresses
Primary practice location
4235 Indian Ripple Rd
Suite 210
Dayton, OH 45440-3284
Mailing address
4235 Indian Ripple Rd
Suite 210
Dayton, OH 45440-3284
Phone (937) 427-9202
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248397 | Medicaid | OH | |
| DB1884 | Other | OH | MEDICARE RR UPIN |
| 080162406 | Other | OH | MEDICARE RAILROAD |
| DB1884 | Other | OH | MEDICARE RR UPIN# |
Other names 1
- Woodcroft Family Practice
National Provider Directory
National Provider DirectoryLocations
4235 Indian Ripple Rd
Ste 210
Dayton, OH 45440
Phone (937) 427-9202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1003097403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 INDIAN RIPPLE RD",
"address_2": "SUITE 210",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403284",
"telephone_number": "937-427-9202",
"fax_number": "937-427-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 INDIAN RIPPLE RD",
"address_2": "SUITE 210",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403284",
"telephone_number": "937-427-9202",
"fax_number": "937-427-9671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH S. LEITHOLD, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "LEITHOLD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-427-9202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35070285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0248397",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR UPIN",
"identifier": "DB1884",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080162406",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR UPIN#",
"identifier": "DB1884",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodcroft Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.