Active NPI
John R Leikensohn, MD
- Plastic Surgery Physician
- Sarasota, FL
National Provider Identifier
1972563450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME36259
- Practice address
- 7222 Westmoreland Dr
Sarasota, FL 34243-1454 - Phone
- (941) 228-8221
- Fax
- (941) 358-7056
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME36259 | FL | Primary |
Addresses
Primary practice location
7222 Westmoreland Dr
Sarasota, FL 34243-1454
Mailing address
7222 Westmoreland Dr
Sarasota, FL 34243-1454
Phone (941) 228-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41167 | Other | FL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1972563450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7222 WESTMORELAND DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431454",
"telephone_number": "941-228-8221",
"fax_number": "941-358-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7222 WESTMORELAND DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431454",
"telephone_number": "941-228-8221",
"fax_number": "941-358-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIKENSOHN",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME36259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "41167",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.