Organization Active NPI

James W Leete MD PC

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1598770240
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301041116 Issued in MI
Legal business name
JAMES W LEETE MD PC
Practice address
1139 E 8TH St
Traverse City, MI 49686-2936
Phone
(231) 947-4704
Fax
(231) 929-2824
NPI assigned
Jul 30, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. James W Leete, MD
Title
Owner
Phone
(231) 947-4704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301041116 MI Primary

Addresses

Primary practice location

1139 E 8TH St
Traverse City, MI 49686-2936

Mailing address

1139 E 8TH St
Traverse City, MI 49686-2936
Phone (231) 947-4704

Other identifiers 2

IdentifierTypeStateIssuer
0802866381OtherMIPHYSICIANS BC NUMBER
2963090MedicaidMI

National Provider Directory

National Provider Directory

Locations

1139 E Eighth St
Traverse City, MI 49686
Phone (231) 933-9415

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1598770240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862936",
            "telephone_number": "231-947-4704",
            "fax_number": "231-929-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862936",
            "telephone_number": "231-947-4704",
            "fax_number": "231-929-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W LEETE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LEETE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-947-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301041116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS BC NUMBER",
            "identifier": "0802866381",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.