Active NPI
James R Leavitt, MD
- Orthopaedic Surgery Physician
- Barron, WI
National Provider Identifier
1710967351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 21032
- Practice address
- 1222 E Woodland Ave
Barron, WI 54812-1765 - Phone
- (715) 537-3166
- NPI assigned
- Jan 19, 2006
- Last updated
- Apr 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21032 | WI | Primary |
Addresses
Primary practice location
1222 E Woodland Ave
Barron, WI 54812-1765
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30103400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21032 | WI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1710967351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 E WOODLAND AVE",
"city": "BARRON",
"state": "WI",
"postal_code": "548121765",
"telephone_number": "715-537-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "21032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30103400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barron, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.