Active NPI
Eric Edward Leonheart, DPM
- Foot & Ankle Surgery Podiatrist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO-00000778
- Practice address
- 9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-5820 - Phone
- (253) 968-1110
- NPI assigned
- Apr 27, 2006
- Last updated
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-00000778 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-5820
Mailing address
121 SW 299TH PL
Federal Way, WA 98023-3572
Phone (425) 233-4597
Other practice location 1
10555 SE Carr Rd
Renton, WA 98055-5820
Phone (425) 203-7290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO-00000778 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Foot & Ankle Surgery | Past | Accepting new patients |
| Dpmleonheartprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Dpmsaltonprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1326229485
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1790966851
-
dba Temple Foot and Ankle Institute
- Podiatrist
- Philadelphia, PA
- NPI 1265446983
Foot & Ankle Surgery
-
dba Temple University Kornberg School of Dentistry
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1841268604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1124085709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SW 299TH PL",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233572",
"telephone_number": "425-233-4597",
"fax_number": "425-656-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVENUE MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315820",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [
{
"address_1": "10555 SE Carr Rd",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555820",
"country_code": "US",
"telephone_number": "425-203-7290",
"fax_number": "425-656-5422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONHEART",
"first_name": "ERIC",
"middle_name": "EDWARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO-00000778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.