George J Leach D O P C

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

Organization subpart

No

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.

Title

Endocrinology

Phone

(248) 476-1210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": "193400000X SINGLE SPECIALTY  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": []
}

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• Madison George, D.O.

• Endocrinology, Diabetes & Metabolism Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• 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.