NPIMap

Organization Active NPI

Jeff Leipzig MD LLC

  • Allergy Physician
  • Hamilton, OH
National Provider Identifier
1063841591
Registry record updated Nov 5, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
35074376L Issued in OH
Legal business name
JEFF LEIPZIG MD LLC
Practice address
7927 Jessies Way
Hamilton, OH 45011-8077
Phone
(513) 894-0500
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Jeffrey Leipzig, M.D.
Title
Owner
Phone
(513) 894-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 35074376L OH Primary

Addresses

Primary practice location

7927 Jessies Way
Hamilton, OH 45011-8077

Mailing address

7927 Jessies Way
Hamilton, OH 45011-8077

Other identifiers 1

IdentifierTypeStateIssuer
2070299MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1063841591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 JESSIES WAY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 JESSIES WAY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118077",
            "telephone_number": "513-894-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF LEIPZIG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "LEIPZIG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-894-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OH",
            "license": "35074376L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.