Sue A Leatherman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.044589 Issued in OH

Practice address

2365 Innis Rd
Columbus, OH 43224

Phone

(614) 416-4325

Fax

(614) 416-4320

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sueleatherman@hofhc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Ohio Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1275714289
  Medicare reassignment
• Heart of Ohio Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Whitehall, OH
  • NPI 1306083340
  NPD
• Eastside Family Practice, Inc.

  • Family Medicine Physician
  • Pickerington, OH
  • NPI 1437298999
  NPD (past)
• Westerville Physician Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1730213950
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1043217839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-235-5555",
            "fax_number": "614-338-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 INNIS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43224",
            "telephone_number": "614-416-4325",
            "fax_number": "614-416-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35044589L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.044589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2781208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Lease
• Erin Leasor, M.S., CCC-SLP
• Abigail Leasure
• Morgan Leasure
• Courtney Leatherman
• Kaylee Oconnor Leathers, MD
• Kaelee Leavitt
• Ambrose Lebbie
• Kumba Lebbie
• Sia M Lebbie, LPN

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.