Kenneth J Leopold, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-04-2274 Issued in OH

Practice address

300 E 8TH St
Suite 120
Marietta, OH 45750-3379

Phone

(740) 374-4273

Fax

(740) 376-5098

NPI assigned

Mar 9, 2006

Last updated

Aug 11, 2020By the provider in NPPES

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1871561472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST",
            "address_2": "SUITE 120",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503379",
            "telephone_number": "740-374-4273",
            "fax_number": "740-376-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-04-2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052657000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433061",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.leopold@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "300 E 8th St",
            "address_2": "Suite 120",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alissa Anne Leisure, PC MED.
• Taylor Lemasters, OT/L
• Christina Lemley
• Myranda Nicole Lemley, LSW
• Joshua Leonard, MD
• Talitha Leporis
• Charles Lewis Levy, MD
• Elizabeth Dawn Lewis
• Angel Licot
• Tonita Ligas, RN, LMT, CMLDT

• Family Medicine Physician in Marietta, OH
• Providers in Marietta, 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 Aug 11, 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.