Organization Active NPI

Hugh M Leavens M.D.

  • Gastroenterology Physician
  • Aiken, SC
National Provider Identifier
1649209289
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17742 Issued in SC
Legal business name
HUGH M LEAVENS M.D.
Practice address
103 Waterloo St SW
Aiken, SC 29801-3756
Phone
(803) 649-9200
Fax
(803) 649-9005
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Hugh M Leavens, MD
Title
Owner
Phone
(803) 649-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 17742 SC Primary

Addresses

Primary practice location

103 Waterloo St SW
Aiken, SC 29801-3756

Mailing address

103 Waterloo St SW
Aiken, SC 29801-3756
Phone (803) 649-9200

Other identifiers 1

IdentifierTypeStateIssuer
GP1104MedicaidSC

National Provider Directory

National Provider Directory

Locations

103 Waterloo St SW
Aiken, SC 29801
Phone (803) 649-7674

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1649209289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WATERLOO ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013756",
            "telephone_number": "803-649-9200",
            "fax_number": "803-649-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WATERLOO ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013756",
            "telephone_number": "803-649-9200",
            "fax_number": "803-649-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH M LEAVENS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "LEAVENS",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-649-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "17742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1104",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.