Organization Active NPI

Thomas J Leckman

  • Internal Medicine Physician
  • Lawton, OK
National Provider Identifier
1558528323
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10781 Issued in OK
Legal business name
THOMAS J LECKMAN
Practice address
505 NW Sheridan Rd
Suite C
Lawton, OK 73505-6522
Phone
(580) 248-7502
Fax
(580) 248-5003
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Thomas Jay Leckman, MD
Title
Physician
Phone
(580) 248-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10781 OK Primary

Addresses

Primary practice location

505 NW Sheridan Rd
Suite C
Lawton, OK 73505-6522

Mailing address

505 NW Sheridan Rd
Suite C
Lawton, OK 73505-6522
Phone (580) 248-7502

Other identifiers 1

IdentifierTypeStateIssuer
100022640EMedicaidOK

National Provider Directory

National Provider Directory

Locations

505 NW Sheridan Rd
Ste C
Lawton, OK 73505
Phone (580) 248-7502

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1558528323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NW SHERIDAN RD",
            "address_2": "SUITE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056522",
            "telephone_number": "580-248-7502",
            "fax_number": "580-248-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NW SHERIDAN RD",
            "address_2": "SUITE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056522",
            "telephone_number": "580-248-7502",
            "fax_number": "580-248-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J LECKMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-248-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022640E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.