Eric D Lederman, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

114589 Issued in MO

Practice address

555 N. New Ballas
Suite 265
Saint Louis, MO 63141-2330

Phone

(314) 991-4644

Fax

(314) 991-4910

NPI assigned

Jun 27, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Colorectal Surgery (Proctology)

Education

Washington University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Massachusetts PLLCGroup PAC ID 8628386448, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital, Springfield, MA, CCN 220077
• Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healogics Specialty Physicians of Massachusetts, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Holyoke, MA
  • NPI 1083096614
  Medicare reassignment Care Compare group NPD
• Suburban Surgical Associates, Inc.

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1699802330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Medical Center Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation
• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1255368973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N. NEW BALLAS",
            "address_2": "SUITE 265",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631412330",
            "telephone_number": "314-991-4644",
            "fax_number": "314-991-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N. NEW BALLAS",
            "address_2": "SUITE 265",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631412330",
            "telephone_number": "314-991-4644",
            "fax_number": "314-991-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "114589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507396109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Martin Leclaire, MD
• Tara Leclere, M.ED
• Nina Faghri Lecompte, M.D.
• Jennifer Lynn Ledbetter, FNP
• Katie Ledbetter, NP-C
• Tawna Marie Ledesma, MED, LPC
• Amy Christine Ledioyt-Fuhr, RN
• Jennifer Lednick, RPH
• Martha Ledyard
• Lee Bascom LLC

• Colon & Rectal Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Colon & Rectal Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.