Mark T Leahy, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19033 Issued in NE

Practice address

700 E 29TH St
Fremont, NE 68025-2384

Phone

(402) 721-3133

Fax

(402) 941-7017

NPI assigned

Feb 22, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.leahy.p1@direct.goodneighbor.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fremont Medical Associates, P.C.

  • Obstetrics & Gynecology Physician
  • Fremont, NE
  • NPI 1447206412
  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1629043773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 29TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252384",
            "telephone_number": "402-721-3133",
            "fax_number": "402-941-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 29TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252384",
            "telephone_number": "402-721-3133",
            "fax_number": "402-941-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "19033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053664516",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole C Lathrop
• Austinia Rebecca Latorra
• Diana Kay Laubscher, OTR/L
• Rita Lauer
• Raina Jane Le-Heuson
• Keith C Leatherbury, MD
• McKenzie Morgan Leedom
• Angela Marie Leeper, MSN ED, RN-BC
• Michelle Legrange
• Brenda Lembke, PLADC

• Obstetrics & Gynecology Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.