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DR. MAVERICK JOSEPH LEBLANC MD NPI 1558780940


NPI Information

NPI: 1558780940
Provider Name: DR. MAVERICK JOSEPH LEBLANC, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-1516
Get Directions

DR. Maverick Joseph Leblanc, MD is a diagnostic radiology radiology in Phoenix, AZ with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Maverick Joseph Leblanc, MD NPI is 1558780940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2014

The provider's business location address is:

2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008-973
Phone: (602) 344-1516
Fax: (602) 344-1004

The NPI 1558780940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 4/14/2014 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology2017043788MISSOURINo
22085R0202XRadiologyDiagnostic Radiology322598LOUISIANANo
32085R0202XRadiologyDiagnostic Radiology66556ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ENROLLEDMEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.