Individual provider Active NPI

Leon Neiman, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Fairlawn, OH
National Provider Identifier
1437167814
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
35023595 Issued in OH
Practice address
3500 W Market St Ste 3
Fairlawn, OH 44333-2663
Phone
(330) 535-3101
Fax
(330) 535-2411
NPI assigned
Aug 3, 2006
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 35023595 OH Primary
Otolaryngology Physician 207Y00000X 35023595 OH

Addresses

Primary practice location

3500 W Market St Ste 3
Fairlawn, OH 44333-2663

Mailing address

3500 W Market St Ste 3
Fairlawn, OH 44333-2663
Phone (330) 535-3101

Other identifiers 2

IdentifierTypeStateIssuer
0009270MedicaidOH
3139017MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000016 OH Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5395930770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Ohio State University College of Medicine, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3500 W Market St
Suite 3
Fairlawn, OH 44333-2663
Phone (330) 535-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35023595OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates Inc CurrentSince Oct 15, 1967 Accepting new patients

Locations

120 W Bowery St
Akron, OH 44308
Phone (330) 535-3101

3500 W Market St
Ste 3
Fairlawn, OH 44333
Phone (330) 535-3101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1437167814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W MARKET ST STE 3",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332663",
            "telephone_number": "330-535-3101",
            "fax_number": "330-535-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W MARKET ST STE 3",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332663",
            "telephone_number": "330-535-3101",
            "fax_number": "330-535-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "OH",
            "license": "35023595",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35023595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009270",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.