Individual provider Active NPI

Lori R. Leonard, DO

  • Family Medicine Physician
  • Twinsburg, OH
National Provider Identifier
1518924281
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006358L Issued in OH
Practice address
8819 Commons Blvd # 100
Twinsburg, OH 44087-2177
Phone
(330) 425-2212
Fax
(330) 425-2779
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34006358L OH Primary

Addresses

Primary practice location

8819 Commons Blvd # 100
Twinsburg, OH 44087-2177

Mailing address

6751N Chestnut St
Ravenna, OH 44266-3903
Phone (330) 296-3641

Other identifiers 1

IdentifierTypeStateIssuer
2065723MedicaidOH

Other names 1

  • Lori Kleinschmidt Former name

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
I20150806012892 OH Order and Referring Only - General PracticePractitioner - General Practice 3072559764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006358LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Regional Physicians LLC Family Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1518924281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663903",
            "telephone_number": "330-296-3641",
            "fax_number": "330-296-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD # 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872177",
            "telephone_number": "330-425-2212",
            "fax_number": "330-425-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "LORI",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006358L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "KLEINSCHMIDT",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.