DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. RUSSELL LEAVITT M.D.

MEDICARE: DR. RUSSELL LEAVITT M.D.
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
1207W00000XOphthalmology PhysicianMD09163OR

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 : 1376546614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUSSELL LEAVITT M.D.
Provider Business Mailing Address
First Line : 1226 NE 7TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1424
Country : US
Telephone Number : 541-476-6636
Fax Number : 541-476-6690
Provider Business Practice Location Address
First Line : 1226 NE 7TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1424
Country : US
Telephone Number : 541-476-6636
Fax Number : 541-476-6690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/11/2010

Similar Medicare Providers

1093718322 — DR. DOUGLAS R. MERRITT M.D.
Practice Location Address:
1226 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-476-6636
Practice Fax: 541-476-6690
1760489991 — DR. MARK MAFFETT M.D.
Practice Location Address:
1226 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-476-6636
Practice Fax: 541-476-6690
1982630695 — RODNEY DERRICK LEAVITT M.D.
Practice Location Address:
1226 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-476-6636
Practice Fax: 541-476-6690
1295758696 — CASCADE EYECARE CENTER PC
Practice Location Address:
1226 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-476-6636
Practice Fax: 541-476-6690
1912071036 — DR. JAMES LOWELL DAVIDIAN MD
Practice Location Address:
1226 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-476-6636
Practice Fax: 541-476-6690
1053532457 — TIMOTHY G DWYER DDS
Practice Location Address:
1212 NE 7TH ST
GRANTS PASS, OR
97526-1424
Practice Phone: 541-479-2748
Practice Fax: 541-479-4701

Directions to “ DR. RUSSELL LEAVITT M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.