Active NPI
George J Leach, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Livonia, MI
National Provider Identifier
1871687061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 5101006363
- Practice address
- 20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000 - Phone
- (248) 476-1210
- Fax
- (248) 476-9280
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 5101006363 | MI | Primary |
| Nuclear Medicine Physician | 207U00000X | 5101006363 | MI |
Addresses
Primary practice location
20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000
Mailing address
20270 Middlebelt Rd
Suite 10
Livonia, MI 48152-2000
Phone (248) 476-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4297465/11 | Medicaid | MI |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006363 | MI | MD | Nuclear Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Livonia, MI
- NPI 1598028334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1871687061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20270 MIDDLEBELT RD",
"address_2": "SUITE 10",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522000",
"telephone_number": "248-476-1210",
"fax_number": "248-476-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20270 MIDDLEBELT RD",
"address_2": "SUITE 10",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522000",
"telephone_number": "248-476-1210",
"fax_number": "248-476-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "5101006363",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MI",
"license": "5101006363",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4297465/11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.