Kim Edward Leblanc, PHD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

014590 Issued in KY

Practice address

2820 Napoleon Ave
Suite 890
New Orleans, LA 70115-6969

Phone

(504) 412-1366

Fax

(504) 412-1367

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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 LA

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, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1003185125
  Medicare reassignment NPD
• St. Thomas Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1295757326
  NPD
• St. Thomas Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1699115600
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1194247825
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1346758323
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1598215402
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1659082105
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1730828419
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1043233968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "address_2": "SUITE 1640",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-412-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "SUITE 890",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156969",
            "telephone_number": "504-412-1366",
            "fax_number": "504-412-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KIM",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "014590",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "014590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309532",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Seffron Leblanc, PTA
• Haley Elizabeth Leblanc, NP
• Hanna Leblanc
• Jolie Leblanc, MD, AAHIVS
• Kamber Leblanc, RD
• Laura Leblanc, M.C.D-SLP, CCC
• Leanne Louise Leblanc, M.D.
• Nicole Leblanc
• Rebecca Levy Leblanc
• Veronica T Leblanc, MCD,CCC-SLP

• Sports Medicine (Family Medicine) Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Sports Medicine (Family Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.