George Frederick Leatherman, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

F6866 Issued in TX

Practice address

709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2411

Phone

(903) 757-5804

Fax

(903) 232-2889

NPI assigned

Aug 30, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

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.

• Diagnostic Clinic of Longview PA

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1386638468

  Interventional Cardiology

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1639289119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19036",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154085",
            "telephone_number": "903-381-7272",
            "fax_number": "903-381-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 2301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-5804",
            "fax_number": "903-232-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "GEORGE",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "F6866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037408403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian-Cuong Le
• Suzanne Bess Lea, PH.D.
• Dwayne Leach
• Tracy Leach, NNP-BC
• James Andrew Leath, FNP-C
• Shannon Lebus, DO
• Hanna Lee
• James Lee, NP
• Lauren Nichole Lee, PA-C
• Wayne N Leeves, MD

• Interventional Cardiology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.