Individual provider Active NPI

Linda Joann Leffel, MD

  • Plastic Surgery Physician
  • Bend, OR
National Provider Identifier
1871577643
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD18444 Issued in OR
Practice address
1715 SW Chandler Avenue
Suite 100
Bend, OR 97702
Phone
(541) 388-3006
Fax
(541) 382-7605
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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 MD18444 OR Primary

Addresses

Primary practice location

1715 SW Chandler Avenue
Suite 100
Bend, OR 97702

Mailing address

1715 SW Chandler Avenue
Suite 100
Bend, OR 97702
Phone (541) 388-3006

Other identifiers 1

IdentifierTypeStateIssuer
057096MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18444ORMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Center for Plastic & Recon Surgery Plastic Surgery Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1871577643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SW CHANDLER AVENUE",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-388-3006",
            "fax_number": "541-382-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SW CHANDLER AVENUE",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-388-3006",
            "fax_number": "541-382-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFEL",
        "first_name": "LINDA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD18444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.