Leo Joseph Spittler, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R9121 Issued in MO

Practice address

3500 S 4TH St
Leavenworth, KS 66048-5043

Phone

(913) 680-6297

Fax

(913) 680-6408

NPI assigned

Jun 16, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kansas City Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Kansas City, KS
  • NPI 1518900992
  NPD (past)
• Overland Park Radiologists, PA

  • Diagnostic Radiology Physician
  • Fort Scott, KS
  • NPI 1255336251
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1083619076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOXRIDGE DR",
            "address_2": "STE 240",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022338",
            "telephone_number": "913-261-3153",
            "fax_number": "913-262-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485043",
            "telephone_number": "913-680-6297",
            "fax_number": "913-680-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITTLER",
        "first_name": "LEO",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-20507",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R9121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119770D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevaeha Solwa-Gonce
• Susan Marie Sotomayor, PTA
• George E Speer, D.O.
• Chelsea Spencer
• Taylor Spillman
• Nicci D Srna
• St. John Hospital Home Health
• Diana Stadel, RN
• Paula Jean Stafford
• Kendall Staley

• Diagnostic Radiology Physician in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.