Organization Active NPI

Thomas M Leland MD PA

  • Ophthalmology Physician
  • Charleston, SC
National Provider Identifier
1104977701
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS M LELAND MD PA
Practice address
1483 Tobias Gadson Blvd
Suite 103
Charleston, SC 29407-8702
Phone
(843) 571-7337
Fax
(843) 571-6911
NPI assigned
Jan 12, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Thomas Mikell Leland, MD
Title
Owner
Phone
(843) 571-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1483 Tobias Gadson Blvd
Suite 103
Charleston, SC 29407-8702

Mailing address

1483 Tobias Gadson Blvd
Suite 103
Charleston, SC 29407-8702
Phone (843) 571-7337

Other identifiers 2

IdentifierTypeStateIssuer
GP1246MedicaidSC
GP3104MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1104977701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 103",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-571-7337",
            "fax_number": "843-571-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 103",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-571-7337",
            "fax_number": "843-571-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M LELAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LELAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MIKELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1246",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3104",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.