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NPI Code Detail

MEDICARE: JOSEPH R. LEITH MD

MEDICARE:   JOSEPH R. LEITH  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
1207X00000XOrthopaedic Surgery Physician40139KY
2207X00000XOrthopaedic Surgery Physician35-083254OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9P00401805OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140139OTHERKYKENTUCKY MEDICAL LICENSE
2505145374-00OTHEROHBWC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4205145374027OTHERCARESOURCE
5613050500OTHERKYDEPARTMENT OF LABOR
67207794OTHERAETNA
700000501050OTHERANTHEM
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598719890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH R. LEITH MD
Provider Business Mailing Address
First Line : 1735 27TH ST STE B06
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2681
Country : US
Telephone Number : 740-356-8681
Fax Number : 740-353-7900
Provider Business Practice Location Address
First Line : 8770 OHIO RIVER RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-1918
Country : US
Telephone Number : 740-574-9090
Fax Number : 740-356-4180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 12/21/2020

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