Marven Leftick, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD10172 Issued in RI

Practice address

407 East Ave.
Suite 250
Pawtucket, RI 02860

Phone

(401) 351-2280

Fax

(401) 721-5709

NPI assigned

Dec 7, 2005

Last updated

Sep 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1396720918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 250",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-351-2280",
            "fax_number": "401-721-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE.",
            "address_2": "SUITE 250",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-351-2280",
            "fax_number": "401-721-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFTICK",
        "first_name": "MARVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "MD10172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7007422",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas C Leblanc, D.C.
• Denise L Leclaire, PT
• Richard Leclerc, LICSW
• Joshua Justice Lee, M.D.
• Laura Jean Lee, PTA
• Sara Lorraine Leibel-Meriney, LCSW
• Jason Lepage, PT, DPT
• Kelly Levesque, LCDP
• Ross Levine, DPT
• Lewis Hearing Aid Center Inc

• Specialist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.