Individual provider Active NPI

Adam Leikensohn, M.D.

  • Hematology & Oncology Physician
  • The Dalles, OR
National Provider Identifier
1720046097
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD154615 Issued in OR
Practice address
1800 E 19TH St
The Dalles, OR 97058-3389
Phone
(541) 506-6998
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1376-TEP WI
Hematology & Oncology Physician 207RH0003X MD154615 OR Primary
Internal Medicine Physician 207R00000X 50181-20 WI

Addresses

Primary practice location

1800 E 19TH St
The Dalles, OR 97058-3389

Mailing address

1800 E 19TH St
The Dalles, OR 97058-3389
Phone (541) 506-6998

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

LicenseStateTypeSpecialty
1376-TEPWIMDInternal Medicine Physician
50181-20WIMDInternal Medicine Physician
MD154615ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1720046097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583389",
            "telephone_number": "541-506-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583389",
            "telephone_number": "541-506-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKENSOHN",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1376-TEP",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD154615",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50181-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.