Individual provider Active NPI

Susann Leblanc, M.D.

  • Pediatrics Physician
  • Nashua, NH
National Provider Identifier
1295880417
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14465 Issued in NH
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

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000413 NH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5294983961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91204FLMDPediatrics Physician
14465NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. Past Accepting new patients
Foundation Medical Partners Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.