Stacey Colleen Leva, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02002919 Issued in IN

Practice address

1225 E Coolspring Ave
Michigan City, IN 46360-6312

Phone

(219) 879-6531

Fax

(219) 872-7869

NPI assigned

Jul 13, 2005

Last updated

May 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Franciscan Health Michigan City

  dba Franciscan Outpatient Pharmacy Michigan City

  • Community/Retail Pharmacy
  • Michigan City, IN
  • NPI 1851774095
  NPD (past)
• Saint Joseph Regional Medical Center, Inc.

  dba Saint Joseph Medical Group

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1467406074
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1508864497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-879-6531",
            "fax_number": "219-872-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-879-6531",
            "fax_number": "219-872-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVA",
        "first_name": "STACEY",
        "middle_name": "COLLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert James Lee, PT
• Robert Lemay, M.D.
• Lisa Marie Leniski, D.D.S., M.S.D.
• Tieioko Lenoir
• Stephen Leonard, PT
• Joshua Tyler Lewis, PHARMD
• Katie Louise Lewis, PHARMD
• Lifecare of Indiana Inc
• Lifecare of Indiana LLC
• Lily Lin

• Family Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.