Marc Leduc, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-06-3786-L Issued in OH

Practice address

2861 E Harbor Rd
Port Clinton, OH 43452-2665

Phone

(419) 732-9975

Fax

(419) 732-6415

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811907355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 E HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522665",
            "telephone_number": "419-732-9975",
            "fax_number": "419-732-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 E HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522665",
            "telephone_number": "419-732-9975",
            "fax_number": "419-732-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-3786-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas P Kunkle, PHD.
• Lake Erie Family Eyecare LLC
• Lakeview Wellness
• Phillip Alan Langhals
• Abbygaile Jo Lawrence
• Kimberly Leneghan, RD LD
• Leonardo T Que MD Inc
• Light House Sober Living
• Debra S Lowe, DMD
• Erin Lucas

• Family Medicine Physician in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.