Active NPI
Leonard Gordon Dorey, MD
- Obstetrics & Gynecology Physician
- Waterford, MI
National Provider Identifier
1396707048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- LD029968
- Practice address
- 25 Pleasant Lake Dr
Waterford, MI 48327-3765 - Phone
- (248) 681-6416
- Fax
- (248) 681-6416
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | LD029968 | MI | Primary |
Addresses
Primary practice location
25 Pleasant Lake Dr
Waterford, MI 48327-3765
Mailing address
25 Pleasant Lake Dr
Waterford, MI 48327-3765
Phone (248) 681-6416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829938 | Medicaid | MI |
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 |
|---|---|---|---|
| LD029968 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1396707048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PLEASANT LAKE DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483273765",
"telephone_number": "248-681-6416",
"fax_number": "248-681-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PLEASANT LAKE DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483273765",
"telephone_number": "248-681-6416",
"fax_number": "248-681-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOREY",
"first_name": "LEONARD",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "LD029968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1829938",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.