Healthcare Provider Details

I. General information

NPI: 1346374428
Provider Name (Legal Business Name): LEAH M SPINNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 MAYFIELD RD STE 323
MAYFIELD HEIGHTS OH
44124-2299
US

IV. Provider business mailing address

6770 MAYFIELD RD STE 323
MAYFIELD HEIGHTS OH
44124-2299
US

V. Phone/Fax

Practice location:
  • Phone: 440-312-7140
  • Fax: 440-312-7142
Mailing address:
  • Phone: 440-312-7140
  • Fax: 440-312-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35121594
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35121594
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: