NPIMap

Organization Active NPI

George J Leach D O P C

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
National Provider Identifier
1598028334
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
GL006363 Issued in MI
Legal business name
GEORGE J LEACH D O P C
Practice address
20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000
Phone
(248) 476-1210
Fax
(248) 476-9280
NPI assigned
Jun 18, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. George Jay Leach, D.O.NPI 1871687061
Title
Endocrinology
Phone
(248) 476-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X GL006363 MI Primary

Addresses

Primary practice location

20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000

Mailing address

20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000
Phone (248) 476-1210

Other identifiers 1

IdentifierTypeStateIssuer
4297465MedicaidMI

National Provider Directory

National Provider Directory

Locations

20270 Middlebelt Rd
Ste 10
Livonia, MI 48152
Phone (248) 476-1210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1598028334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20270 MIDDLEBELT RD",
            "address_2": "SUITE 10",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522000",
            "telephone_number": "248-476-1210",
            "fax_number": "248-476-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20270 MIDDLEBELT RD",
            "address_2": "SUITE 10",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522000",
            "telephone_number": "248-476-1210",
            "fax_number": "248-476-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J LEACH D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "ENDOCRINOLOGY",
        "authorized_official_telephone_number": "248-476-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "GL006363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4297465",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.