Active NPI
Vitt P Leng, MD
- Interventional Cardiology Physician
- Florence, SC
National Provider Identifier
1376563288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 27483
- Practice address
- 1706 2ND Loop Rd
Florence, SC 29501-6119 - Phone
- (843) 629-8084
- Fax
- (843) 629-8684
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 27483 | SC | Primary |
Addresses
Primary practice location
1706 2ND Loop Rd
Florence, SC 29501-6119
Mailing address
1706 2ND Loop Rd
Florence, SC 29501-6119
Phone (843) 629-8084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0965 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27483 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiology Consultants | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIGABA
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.
-
- Cardiovascular Disease Physician
- Florence, SC
- NPI 1669492427
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1376563288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016119",
"telephone_number": "843-629-8084",
"fax_number": "843-629-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 2ND LOOP RD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016119",
"telephone_number": "843-629-8084",
"fax_number": "843-629-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENG",
"first_name": "VITT",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SC",
"license": "27483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0965",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.