Eric Edward Leonheart, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Tacoma, WA
NPI 1124085709 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1124085709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PO-00000778 (WA)
- Practice address
- 9040 Jackson Avenue Madigan Army Medical Center
Tacoma, WA 98431-5820 - Phone
- (253) 968-1110
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802001129 | WA | Practitioner - Podiatry | 6507838653 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 | Past | Accepting new patients | |
| Dpmsaltonprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Dpmleonheartprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Temple University of the Commonwealth System of Higher Education | Foot & Ankle Surgery | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-00000778 | WA | Yes |
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
Other providers in Tacoma, WA
- Vincent Michael Leone
- Marci Kim Leong
- Mitchell Leong
- Stephanie Lois Leong
- Yen D Leong
- Steven Armand Lepine
- Isaiah Lereau
- Joseph John Leroy III
- Robb Douglas Leroy
- Colette Suzanne Lescantz
All providers in Tacoma, WA · Foot & Ankle Surgery Podiatrist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.