Leigh Baltuch, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101-034867 Issued in VA

Practice address

215 Brooke Ave
#602
Norfolk, VA 23510-1234

Phone

(757) 489-4700

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Riverpoint Psychiatric Assocs Inc

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1225083538
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1528048279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROOKE AVE",
            "address_2": "#602",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BROOKE AVE",
            "address_2": "#602",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101234",
            "telephone_number": "757-489-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTUCH",
        "first_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101-034867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Ball, PH.D.
• Rebecca Tate Ballance
• Antionette Ballard, QDDP
• Dorothy M Ballard, MD
• Balm of Gilead Counseling Services
• Heather Bamford, CPNP-AC
• Shanley Banaag, D.O.
• Julie Banaszak, ATC
• Michelle M Banazwski, PT
• Agnes Bautista Banias, RDH

• Psychiatry Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.