Active NPI
Leonard H Kanterman, M.D.
- Internal Medicine Physician
- Cortland, OH
National Provider Identifier
1952335622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35050207
- Practice address
- 2600 State Route 5
Cortland, OH 44410-9393 - Phone
- (330) 372-8800
- Fax
- (330) 372-8999
- NPI assigned
- Jul 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35050207 | OH | Primary |
Addresses
Primary practice location
2600 State Route 5
Cortland, OH 44410-9393
Mailing address
2600 State Route 5
Cortland, OH 44410-9393
Phone (330) 372-8800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000243194 | Other | OH | ANTHEM BC/BS |
| Q001360 | Other | OH | HOMETOWN |
| 78913 | Other | OH | HEALTH ASSURANCE |
| J50207 | Other | OH | SUMMACARE |
| 0630311 | Medicaid | OH | |
| 341341025037 | Other | OH | CARESOURCE |
| 400879 | Other | OH | UNITED HEALTHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35050207 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumbull Mahoning Medical Group, Inc. | Internal Medicine | 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.
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1538353883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1952335622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 STATE ROUTE 5",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109393",
"telephone_number": "330-372-8800",
"fax_number": "330-372-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 STATE ROUTE 5",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109393",
"telephone_number": "330-372-8800",
"fax_number": "330-372-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTERMAN",
"first_name": "LEONARD",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35050207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000243194",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMETOWN",
"identifier": "Q001360",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "78913",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "J50207",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0630311",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341341025037",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "400879",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.