Individual provider Active NPI

David Clair Leber, MD

  • Plastic Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1093733289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD-012624-E Issued in PA
Practice address
2807 N Front St
Harrisburg, PA 17110-1222
Phone
(717) 233-4691
Fax
(717) 233-8836
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD-012624-E PA Primary

Addresses

Primary practice location

2807 N Front St
Harrisburg, PA 17110-1222

Mailing address

2807 N Front St
Harrisburg, PA 17110-1222
Phone (717) 233-4691

Other identifiers 1

IdentifierTypeStateIssuer
00074076001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-012624-EPAMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093733289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101222",
            "telephone_number": "717-233-4691",
            "fax_number": "717-233-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101222",
            "telephone_number": "717-233-4691",
            "fax_number": "717-233-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBER",
        "first_name": "DAVID",
        "middle_name": "CLAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD-012624-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00074076001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.