Active NPI
Clinton H Leinweber, DO
- Radiation Oncology Physician
- Greenville, NC
National Provider Identifier
1467435800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2012-00595
- Practice address
- 600 Moye Blvd
Leo Jenkins Cancer Services
Greenville, NC 27834-4300 - Phone
- (252) 744-2900
- Fax
- (252) 744-3844
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | OS007421E | PA | |
| Radiation Oncology Physician | 2085R0001X | 2012-00595 | NC | Primary |
Addresses
Primary practice location
600 Moye Blvd
Leo Jenkins Cancer Services
Greenville, NC 27834-4300
Mailing address
PO Box 8423
Newco Cancer Services
Greenville, NC 27835-8423
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300022290 | Other | PA | RAILROAD MEDICARE |
| 441411 | Other | PA | BCBS PA |
| 5541559002 | Other | PA | CIGNA HMO |
| 55526 | Other | PA | GEISINGER HEALTH PLAN |
| P01619321 | Other | NC | RR MEDICARE |
| 1708W | Other | NC | BCBS |
| 01207701 | Other | PA | CAPITAL BC |
| 0012439800006 | Medicaid | PA | |
| 0136327000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 5920688 | Medicaid | NC | |
| 1030007 | Other | PA | KEYSTONE MERCY |
| 0441411 | Other | PA | KEYSTONE HEALTHPLAN CENTR |
| 1030007 | Other | PA | AMERIHEALTH MERCY |
| 111617 | Other | PA | MEDPLUS/THREE RIVERS |
| 1520775 | Other | PA | GATEWAY |
| 5541559 | Other | NC | CIGNA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-00595 | NC | MD | Radiation Oncology Physician |
| OS007421E | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allentown Radiation Oncology Associates PC | Radiation Oncology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Allentown, PA
- NPI 1275515686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1467435800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8423",
"address_2": "NEWCO CANCER SERVICES",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278358423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MOYE BLVD",
"address_2": "LEO JENKINS CANCER SERVICES",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344300",
"telephone_number": "252-744-2900",
"fax_number": "252-744-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINWEBER",
"first_name": "CLINTON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "OS007421E",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2012-00595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300022290",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PA",
"identifier": "441411",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "5541559002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "55526",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01619321",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1708W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "01207701",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012439800006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0136327000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5920688",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1030007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTHPLAN CENTR",
"identifier": "0441411",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1030007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS/THREE RIVERS",
"identifier": "111617",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1520775",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5541559",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.