Organization Active NPI

Leger-Moore Management Consultant, LLC

  • Interventional Pain Medicine Physician
  • Okemos, MI
National Provider Identifier
1790045433
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301100643 Issued in MI
Legal business name
LEGER-MOORE MANAGEMENT CONSULTANT, LLC
Practice address
2422 Jolly Rd
Ste. 200
Okemos, MI 48864-3686
Phone
(517) 349-9330
Fax
(517) 349-7131
NPI assigned
May 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2012

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

Authorized official

Name
Susan Marie Moore, REGISTERED NURSE
Title
Ceo
Phone
(586) 531-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 4301100643 MI Primary

Addresses

Primary practice location

2422 Jolly Rd
Ste. 200
Okemos, MI 48864-3686

Mailing address

2422 Jolly Rd
Ste. 200
Okemos, MI 48864-3686
Phone (517) 349-9330

National Provider Directory

National Provider Directory

Locations

2422 Jolly Rd
Ste 200
Okemos, MI 48864
Phone (517) 349-9330

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338163200000",
    "number": "1790045433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 JOLLY RD",
            "address_2": "STE. 200",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643686",
            "telephone_number": "517-349-9330",
            "fax_number": "517-349-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 JOLLY RD",
            "address_2": "STE. 200",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643686",
            "telephone_number": "517-349-9330",
            "fax_number": "517-349-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGER-MOORE MANAGEMENT CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-531-8882",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301100643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.