Charles Raymond Leach, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F4922 Issued in TX

Practice address

4440 E Highway 287
Midlothian, TX 76065-5576

Phone

(972) 723-5590

Fax

(972) 723-5592

NPI assigned

Jun 13, 2006

Last updated

Sep 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• True Medicine, PA

  • Internal Medicine Physician
  • Trophy Club, TX
  • NPI 1952550352
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1205879855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 E HIGHWAY 287",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655576",
            "telephone_number": "972-723-5590",
            "fax_number": "972-723-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 E HIGHWAY 287",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655576",
            "telephone_number": "972-723-5590",
            "fax_number": "972-723-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "CHARLES",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F4922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131879204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131879208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "131879221",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - OTHER COUNTY",
            "identifier": "283520YL7A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110094182",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131879218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Lang, DC
• Cora Lansdowne, MME, MT-BC
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• Emily Larsen, M.S. CCC-SLP
• Trang Le, PHARM D.
• Leanonme Group LLC (Leanonme Medical Clinic)
• Taylor Dean Leavitt, MD
• Legacy Dentistry
• Elaine Fannie Lemmer, PH.D.
• Dana Lewis

• Internal Medicine Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.