Active NPI
Steven Todd Leder, MD
- Anesthesiology Physician
- Columbia, SC
National Provider Identifier
1225018971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD 23707
- Practice address
- 6539 Garners Ferry Road
WJB Dorn Vamc -Department of Anesthesiology
Columbia, SC 29209 - Phone
- (803) 776-4000
- Fax
- (803) 647-5726
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD 23707 | SC | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MD23707 | SC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD 23707 | SC |
Addresses
Primary practice location
6539 Garners Ferry Road
WJB Dorn Vamc -Department of Anesthesiology
Columbia, SC 29209
Mailing address
2317 Duncan St
Columbia, SC 29205-3137
Phone (864) 884-1143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237078 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11814 | SC | MD | Professional Counselor |
| MD 23707 | SC | MD | Anesthesiology Physician |
| MD23707 | SC | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Rule Medical Services, Inc | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Anesthesiology | Past | Accepting new patients |
| Coastal Healthcare Resources Inc | Anesthesiology | Past | Accepting new patients |
| Lancaster Anesthesia & Associates, PA | Anesthesiology | Past | Accepting new patients |
| Palmetto Anesthesia of Charleston, LLC | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
-
- Specialist
- Irmo, SC
- NPI 1477501708
-
- Certified Registered Nurse Anesthetist
- Lancaster, SC
- NPI 1104898329
Anesthesiology
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1265484422
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1225018971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 DUNCAN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053137",
"telephone_number": "864-884-1143",
"fax_number": "803-647-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6539 GARNERS FERRY ROAD",
"address_2": "WJB DORN VAMC -DEPARTMENT OF ANESTHESIOLOGY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000",
"fax_number": "803-647-5726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDER",
"first_name": "STEVEN",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "MD 23707",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "SC",
"license": "MD23707",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "MD 23707",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237078",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.