Active NPI
Leo Fernando Ditzel Filho, M.D.
- Neurological Surgery Physician
- Columbus, OH
National Provider Identifier
1063852853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 57.021947
- Practice address
- 410 W 10TH Ave
N-1011a
Columbus, OH 43210-1240 - Phone
- (614) 293-7190
- Fax
- (614) 293-4281
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 57.021947 | OH | Primary |
Addresses
Primary practice location
410 W 10TH Ave
N-1011a
Columbus, OH 43210-1240
Mailing address
410 W 10TH Ave
N-1011a
Columbus, OH 43210-1240
Phone (614) 293-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.021947 | OH | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1063852853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"address_2": "N-1011A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-7190",
"fax_number": "614-293-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"address_2": "N-1011A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-7190",
"fax_number": "614-293-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITZEL FILHO",
"first_name": "LEO",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "57.021947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.