NPIMap

Organization Active NPI

David R Leaverton MD PA

  • Psychiatry Physician
  • Arnold, MD
National Provider Identifier
1740361666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DAVID R LEAVERTON MD PA
Practice address
1331 Kinloch Circle
Arnold, MD 21012
Phone
(410) 647-8210
Fax
(410) 647-8267
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Runyan Leaverton, MDNPI 1427155233
Title
President
Phone
(410) 647-8210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1331 Kinloch Circle
Arnold, MD 21012

Mailing address

1331 Kinloch Circle
Arnold, MD 21012
Phone (410) 647-8210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740361666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 KINLOCH CIRCLE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 KINLOCH CIRCLE",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-647-8210",
            "fax_number": "410-647-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R LEAVERTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAVERTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUNYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-647-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.