Active NPI
Susann Leblanc, M.D.
- Pediatrics Physician
- Nashua, NH
National Provider Identifier
1295880417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14465
- Practice address
- 280 Main St Ste 410
Nashua, NH 03060-2921 - Phone
- (603) 595-7388
- Fax
- (603) 595-8624
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14465 | NH | Primary |
| Pediatrics Physician | 208000000X | 91204 | FL |
Addresses
Primary practice location
280 Main St Ste 410
Nashua, NH 03060-2921
Mailing address
280 Main St Ste 410
Nashua, NH 03060-2921
Phone (603) 595-7388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120921000413 | NH | Order and Referring Only - Pediatric Medicine | 5294983961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91204 | FL | MD | Pediatrics Physician |
| 14465 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Partners Inc. | Past | Accepting new patients | |
| Foundation Medical Partners Inc | Past | Accepting new patients |
Interoperability endpoints
- sleblanc95746@direct.solutionhealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1295880417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MAIN ST STE 410",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602921",
"telephone_number": "603-595-7388",
"fax_number": "603-595-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAIN ST STE 410",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602921",
"telephone_number": "603-595-7388",
"fax_number": "603-595-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "SUSANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "14465",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "91204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.