MEDICARE: THOMAS LEIPZIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	010350456A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720062193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS LEIPZIG MD

Provider Business Mailing Address
First Line	:	8333 NAAB RD
Second Line	:	STE 250
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5924
Country	:	US
Telephone Number	:	317-396-1300
Fax Number	:	317-876-4070

Provider Business Practice Location Address
First Line	:	8333 NAAB RD
Second Line	:	STE 250
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5924
Country	:	US
Telephone Number	:	317-396-1300
Fax Number	:	317-876-4070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	02/20/2014

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Directions to “ THOMAS LEIPZIG MD” Practice Location

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