Individual provider Active NPI

Mark H Leech, M.D.

  • Plastic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1851317671
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD0000018072 Issued in TN
Practice address
1616 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-4136
Phone
(423) 826-8200
Fax
(423) 826-8201
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD0000018072 TN Primary

Addresses

Primary practice location

1616 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-4136

Mailing address

1616 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-4136
Phone (423) 826-8200

Other identifiers 5

IdentifierTypeStateIssuer
3154377OtherTNBLUE
4953610OtherTNCIGNA
139412005329OtherTNHUMANA
1340106OtherTNUHC
5959415OtherTNAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000748 TN Practitioner - Plastic and Reconstructive Surgery 0446351068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1616 Gunbarrel Rd
Chattanooga, TN 37421-4136
Phone (423) 826-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000018072TNMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Plastic Surgery, PLLC Plastic Surgery CurrentSince Apr 1, 2007 Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

1616 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 826-8200

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 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1851317671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GUNBARREL RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214136",
            "telephone_number": "423-826-8200",
            "fax_number": "423-826-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GUNBARREL RD",
            "address_2": "SUITE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214136",
            "telephone_number": "423-826-8200",
            "fax_number": "423-826-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEECH",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD0000018072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "3154377",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4953610",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "139412005329",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1340106",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5959415",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.