NPIMap

Organization Active NPI

Leeds Podiatry LLC

  • Podiatrist
  • Leeds, AL
National Provider Identifier
1487063731
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
302 Issued in AL
Legal business name
LEEDS PODIATRY LLC
Practice address
1628 9TH St
Ste 112
Leeds, AL 35094-4140
Phone
(205) 623-0169
Fax
(205) 623-0167
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Lisa Alexandra Panthel, DPMNPI 1912925843
Title
Owner/Sole Member
Phone
(205) 623-0169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 302 AL Primary

Addresses

Primary practice location

1628 9TH St
Ste 112
Leeds, AL 35094-4140

Mailing address

1628 9TH St
Ste 112
Leeds, AL 35094-4140
Phone (205) 623-0169

National Provider Directory

National Provider Directory

Locations

1628 9th St
Ste 112
Leeds, AL 35094
Phone (205) 623-0169

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1487063731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 9TH ST",
            "address_2": "STE 112",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350944140",
            "telephone_number": "205-623-0169",
            "fax_number": "205-623-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 9TH ST",
            "address_2": "STE 112",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350944140",
            "telephone_number": "205-623-0169",
            "fax_number": "205-623-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "PANTHEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "205-623-0169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.