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NPI Code Detail

MEDICARE: MARC SCOTT LEDER MD

MEDICARE:   MARC SCOTT LEDER  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
12080P0204XPediatric Emergency Medicine (Pediatrics) Physician35064844OH

Other Identifiers

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

General Provider Information

NPI Number : 1356333769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC SCOTT LEDER MD
Provider Business Mailing Address
First Line : 700 CHILDREN'S DRIVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number : 614-722-4380
Provider Business Practice Location Address
First Line : 4363 ALL SEASONS DR STE 100
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2050
Country : US
Telephone Number : 614-355-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 11/04/2025

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Directions to “ MARC SCOTT LEDER MD” Practice Location

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