Jeffrey M Leisring, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.052686 Issued in OH

Practice address

4481 Sugar Maple Drive
Wpafb, OH 45433

Phone

(937) 257-9700

Fax

(937) 904-3521

NPI assigned

Jun 6, 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1568401172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 SUGAR MAPLE DRIVE",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9700",
            "fax_number": "937-904-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 SUGAR MAPLE DRIVE",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9700",
            "fax_number": "937-904-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISRING",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.052686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0599866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam J Kruse, MD
• Derek Lapsins, RPH
• Alicia Marie Latta, DO
• Jake Laxer
• Charlotte Marie Lee, M.D.
• Mark Jacob Linford, DO
• Ethan Yi-Buo Liu, PHARMD
• Bradley Lloyd
• Stephen Gene Long, P.A.
• David Lucius, PHARM D.RPH

• Family Medicine Physician in Wpafb, OH
• Providers in Wpafb, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.