Individual provider Active NPI

Leonard Andrew Fichter, DO

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Panama City Beach, FL
National Provider Identifier
1821073719
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
OS15559 Issued in FL
Practice address
11501 Hutchison Blvd Ste 109
Panama City Beach, FL 32407-3747
Phone
(850) 250-1311
Fax
(850) 250-3589
NPI assigned
Dec 13, 2005
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X OS15559 FL Primary
Surgery Physician 208600000X OS15559 FL

Addresses

Primary practice location

11501 Hutchison Blvd Ste 109
Panama City Beach, FL 32407-3747

Mailing address

22207 Fox Glenn Trce
Panama City Beach, FL 32413-8413
Phone (304) 545-7444

Other identifiers 4

IdentifierTypeStateIssuer
001710946OtherBCBS
0124066000MedicaidWV
020045263OtherWVMEDICARE RAILROAD
328397OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071031000141 WV Practitioner - General Surgery 6305933805 Practice locations: Hurricane, WV
I20240118004141 FL Practitioner - Undersea and Hyperbaric MedicinePractitioner - General Surgery 6305933805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11501 Hutchison Blvd
Suite 109
Panama City Beach, FL 32407-3747
Phone (852) 250-0112

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue784
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15559FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Wound Care and Hyperbaric Center LLC Undersea and Hyperbaric Medicine CurrentSince Dec 12, 2023 Accepting new patients
Dr Leonard a Fichter Inc Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

11501 Hutchison Blvd
Ste 109
Panama City Beach, FL 32407
Phone (850) 248-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1821073719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22207 FOX GLENN TRCE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138413",
            "telephone_number": "304-545-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 HUTCHISON BLVD STE 109",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073747",
            "telephone_number": "850-250-1311",
            "fax_number": "850-250-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTER",
        "first_name": "LEONARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "OS15559",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS15559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001710946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124066000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020045263",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "328397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.