Organization Active NPI

Karen E. Leitzel, MD, LLC

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1245260694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01049212A Issued in IN
Legal business name
KAREN E. LEITZEL, MD, LLC
Practice address
7636 E 109TH Ave
Crown Point, IN 46307-9182
Phone
(219) 661-0216
Fax
(219) 661-0628
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen E. Leitzel, MD
Title
Owner
Phone
(219) 661-0216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01049212A IN Primary

Addresses

Primary practice location

7636 E 109TH Ave
Crown Point, IN 46307-9182

Mailing address

7636 E 109TH Ave
Crown Point, IN 46307-9182
Phone (219) 661-0216

National Provider Directory

National Provider Directory

Locations

7636 E 109th Ave
Crown Point, IN 46307
Phone (219) 661-0216

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245260694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7636 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079182",
            "telephone_number": "219-661-0216",
            "fax_number": "219-661-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7636 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079182",
            "telephone_number": "219-661-0216",
            "fax_number": "219-661-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E. LEITZEL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEITZEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-661-0216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.