Leap Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEAP MEDICAL SERVICES LLC

Practice address

22375 Troon Dr
Athens, AL 35613-8138

Phone

(337) 408-0797

Fax

(337) 943-0846

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Matthew D. Hanserd, MD

Title

Owner

Phone

(337) 408-0797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1346897550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22375 TROON DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356138138",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "HANSERD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-408-0797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Larue, ALC
• Amy Catherine Lawrence, D.C.
• Joseph Paul Lawrence, D.C.
• William David Lawrence, D.O.
• Elizabeth Carol League, MS
• Terri Mechelle Leibee, CSFA, CST
• Katelyn Leonard, RN
• Ashley Tice Letson, CRNP
• Pauline A Lett-Anderson, M.D.
• LHF Billing

• Internal Medicine Physician in Athens, AL
• Providers in Athens, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.