Mark G Leitner DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2569 Issued in FL

Legal business name

MARK G LEITNER DPM PA

Doing business as

Advanced Foot and Ankle Specialists

Practice address

206 Buckingham PL
Suite 101
Brandon, FL 33511-4910

Phone

(813) 571-2977

Fax

(813) 654-9545

NPI assigned

Nov 1, 2006

Last updated

Sep 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark G Leitner, DPMNPI 1962401067

Title

Medical Director

Phone

(813) 571-2977

Specialties & licenses 8

Addresses

Other identifiers 6

Other names 1

• Advanced Foot and Ankle Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark G Leitner, DPM

  • Podiatrist
  • Brandon, FL
  • NPI 1962401067
  Medicare reassignment Care Compare group NPD Authorized official
• Brandi M Johnson, DPM

  • Podiatrist
  • Brandon, FL
  • NPI 1639257207
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1376621888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BUCKINGHAM PL",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114910",
            "telephone_number": "813-571-2977",
            "fax_number": "813-654-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BUCKINGHAM PL",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114910",
            "telephone_number": "813-571-2977",
            "fax_number": "813-654-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G LEITNER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "LEITNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-571-2977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3199",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2569",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3199",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2569",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3199",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2569",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3199",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - JOHNSON",
            "identifier": "65891",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE - LEITNER",
            "identifier": "PO2569",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE - JOHNSON",
            "identifier": "PO3199",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  - LEITNER",
            "identifier": "65462",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001631400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Margetis, M.A., C.C.C.
• Erin Margie
• Marie L Fahringer, Ma, LMHC
• Mark D. Mellman, DDS. PA
• Mark G Leitner DPM (Advanced Foot and Ankle Specialists)
• Mark Lee Craft MD PA
• Mark Taylor MD and Associates PA (o/o LENDEL M TAYLOR)
• Jordan Brooks Markel, MD
• Julie Fran Marks, B.S./M.S. CCC/SLP
• Evan Youri Maroun, DO, MBA, MS

• Podiatrist in Brandon, FL
• Providers in Brandon, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.