Leann F Nitschke, MD – Surgery Physician

Key facts

NPI: 1114010659
Entity type: Individual (NPI type 1)
Primary specialty: Surgery Physician 208600000X
License: 30476 020 (WI)
Practice address: 8780 Lincoln Street
Savage, MD 20763-5001
Phone: (212) 782-7993
NPI assigned: Oct 2, 2006
Sex: Female
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
30476 020	WI	MD	Surgery Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Surgery Physician	208600000X	30476 020	WI	Yes

Addresses

Primary practice location

8780 Lincoln Street
Savage, MD 20763-5001

Mailing address

8780 Lincoln Street
Savage,, MD 20763

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114010659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 LINCOLN STREET",
            "city": "SAVAGE,",
            "state": "MD",
            "postal_code": "20763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 LINCOLN STREET",
            "city": "SAVAGE",
            "state": "MD",
            "postal_code": "207635001",
            "telephone_number": "212-782-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCHKE",
        "first_name": "LEANN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "30476 020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MD

All providers in Savage, MD · Surgery Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.