NPIMap

Organization Active NPI

Linda H. Leavenworth, M.D., P.C.

  • Gynecology Physician
  • Acton, MA
National Provider Identifier
1427250695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
56101 Issued in MA
Legal business name
LINDA H. LEAVENWORTH, M.D., P.C.
Practice address
411 Massachusetts Ave
Suite 202
Acton, MA 01720-3739
Phone
(978) 635-0477
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Linda H Leavenworth, M.D.NPI 1053311076
Title
Direct Owner
Phone
(978) 635-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 56101 MA Primary

Addresses

Primary practice location

411 Massachusetts Ave
Suite 202
Acton, MA 01720-3739

Mailing address

411 Massachusetts Avenue
Suite 202
Acton, MA 01720
Phone (978) 635-0477

Other identifiers 9

IdentifierTypeStateIssuer
13614OtherMAHPHC PROVIDER#
M16905OtherMABCBS OF MA GRP#
056101OtherMATUFTS PROVIDER #
1938517OtherMACIGNA PROVIDER ID#
2018428OtherMDAETNA PROVIDER #
7166OtherMAFALLON PROVIDER ID#
J06513OtherMABCBS INDIVDUAL PROVIDER #
0700573OtherMAUNITED HEALTHCARE ID#
3023311MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427250695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 202",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "01720",
            "telephone_number": "978-635-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVE",
            "address_2": "SUITE 202",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-635-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA H. LEAVENWORTH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAVENWORTH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "978-635-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "56101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PROVIDER#",
            "identifier": "13614",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA GRP#",
            "identifier": "M16905",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER #",
            "identifier": "056101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID#",
            "identifier": "1938517",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2018428",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON PROVIDER ID#",
            "identifier": "7166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVDUAL PROVIDER #",
            "identifier": "J06513",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "0700573",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3023311",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.