Gary Kleeman, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

59364 Issued in MA

Practice address

585 Lebanon St
Melrose, MA 02176-3225

Phone

(781) 937-4522

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1992743744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GILL ST",
            "address_2": "STE 3000",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011728",
            "telephone_number": "781-937-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 LEBANON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763225",
            "telephone_number": "781-937-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEMAN",
        "first_name": "GARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "59364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J12040",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087816",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Kelley
• Kristie Lynn Kenyon, LICSW
• Jiyoung Kim
• Suzy Kim, PHARMD.
• Roger L Kinnard, MD
• Rachael Knight
• Jacob Knudsen
• Alexandra Koerten, RN, IBCLC
• Laura Konaxis, LICSW
• Miranda L Kopnisky, PA-C

• Emergency Medicine Physician in Melrose, MA
• Providers in Melrose, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.