Gregory J Leitheiser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29051 Issued in WI

Practice address

1475 Webb St
Cumberland, WI 54829

Phone

(715) 822-2231

Fax

(715) 822-2023

NPI assigned

Jun 24, 2006

Last updated

Dec 30, 2010By the provider in NPPES

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

Practice roles

Locations

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

• Cumberland Clinic SC

  • Family Medicine Physician
  • Cumberland, WI
  • NPI 1629091566
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1659307361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WEBB ST",
            "address_2": "PO BOX 127",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2231",
            "fax_number": "715-822-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 WEBB ST",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2231",
            "fax_number": "715-822-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITHEISER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31547600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeview Medical Center Inc of Rice Lake (Marshfield Clinic Cumberland Center, RHC)
• John Lapcewich, M.S.
• Lee R Jacobson OD SC (Jacobson Advanced Eye Care Clinic)
• Lee R Jacobson OD SC (Jacobson Advanced Eye Care)
• Erin G. Lehmann, D.D.S.
• Deborah Leonhardt, D.C.
• Lightning Auto LLC
• Thomas A Lingen, MD
• M & J of Cumberland, Inc. (The Apothecary)
• Kaya Denice Marek, R.N.

• Family Medicine Physician in Cumberland, WI
• Providers in Cumberland, WI by specialty
• Family Medicine Physician in Wisconsin

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