Mark Henry Leinwand, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001190-1 Issued in NY

Practice address

13 North Fulton Street
Auburn, NY 13021

Phone

(315) 255-1171

Fax

(315) 252-7801

NPI assigned

Mar 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• East Hill Family Medical, Inc.

  • Family Medicine Physician
  • Auburn, NY
  • NPI 1740074673
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1255391793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 NORTH FULTON STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-1171",
            "fax_number": "315-252-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NORTH FULTON STREET",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-1171",
            "fax_number": "315-252-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINWAND",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "464",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001190-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402042",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Yong Weil Lee, PA-C
• Danielle Lefebvre, WHNP-BC
• Lilianne Jeanne Leger-Maples, MSW
• Amelia Lee Legrett, FNP
• Jeffrey Legrett, M.D.
• Lindsay Marie Lemessurier
• Amanda Lynn Leonello, AGPCNP
• Lesch Chiropractic PC
• John Richard Lesch, DDS
• Jonathan Michael Lesch, DC

• Physician Assistant in Auburn, NY
• Providers in Auburn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.