NPIMap

Individual provider Active NPI

Jonathan B Leizman, M.D.

  • Family Medicine Physician
  • Pepper Pike, OH
National Provider Identifier
1447249677
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075091L Issued in OH
Practice address
30799 Pinetree Rd # 145
Pepper Pike, OH 44124-5903
Phone
(216) 479-9063
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 35075091 OH
Family Medicine Physician 207Q00000X 35075091L OH Primary

Addresses

Primary practice location

30799 Pinetree Rd # 145
Pepper Pike, OH 44124-5903

Mailing address

30799 Pinetree Rd # 145
Pepper Pike, OH 44124-5903

Other identifiers 2

IdentifierTypeStateIssuer
2191079MedicaidOH
000000210557OtherOHANTHEM

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

LicenseStateTypeSpecialty
35075091LOHMDFamily Medicine Physician
35075091OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc. Past Accepting new patients
Emergency Care Specialists Inc Past Accepting new patients
Premise Health of Montana Medical PC PastSince Oct 1, 2024 Accepting new patients
Premise Health of Indiana Medical PC PastSince Apr 1, 2019 Accepting new patients
Premise Health of Colorado Medical PC PastSince Jan 1, 2021 Accepting new patients
Marymount Primary Care Services, Inc Past Accepting new patients
Lake Hospital System Past Accepting new patients
Premise Health of New Jersey Medical PC PastSince Apr 1, 2019 Accepting new patients
Premise Health of North Carolina Medical PC PastSince Dec 21, 2020 Accepting new patients
Premise Health of Tennessee Medical PC PastSince Jan 1, 2022 Accepting new patients
Premise Health of Minnesota Medical PC PastSince Dec 31, 2022 Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1447249677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30799 PINETREE RD # 145",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30799 PINETREE RD # 145",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245903",
            "telephone_number": "216-479-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIZMAN",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35075091",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075091L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191079",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000210557",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.