Donald Joel Leathers, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD030006E Issued in PA

Practice address

777 Rural Ave
Williamsport, PA 17701-3109

Phone

(570) 321-2321

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Divine Providence Hospital of the Sisters of Christian Charity

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Selinsgrove, PA
  • NPI 1023110459
  NPD (past)
• T.S.Talamo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greensburg, PA
  • NPI 1871539395

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1629181797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PENN AVE STE E",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212154",
            "telephone_number": "412-247-4500",
            "fax_number": "412-247-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 RURAL AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013109",
            "telephone_number": "570-321-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "DONALD",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD030006E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "475269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY/HMO OF NE",
            "identifier": "809443",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011421630002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lazar Medical Group, PC
• Krista A Lazar, MD
• Michael Lazar
• Aliya Alla Lazinsky, MSN,CRNA
• Lcdocs LLC
• Ashley Leberfinger, M.D.
• Joseph Brian Lecrone, PHARMD
• Kayla Alexis Lee, MD
• Shakeena B Lee, MSW, LSW
• Rebecca Jayne Leese, RN, IBCLC

• All providers in Williamsport, PA
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.