ROSEMARY E LEITCH M.D. NPI 1609095231

NPI Information

NPI: 1609095231
Provider Name: ROSEMARY E LEITCH, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
11123 PARKVIEW PLAZA DR
SUITE 2
FORT WAYNE, IN
ZIP 46845
Phone: (260) 490-6261
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Rosemary E Leitch, M.D. is a specialist in Fort Wayne, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Rosemary E Leitch, M.D. NPI is 1609095231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11123 PARKVIEW PLAZA DR
SUITE 2
FORT WAYNE, IN
ZIP 46845-707
Phone: (260) 490-6261
Fax: (260) 490-6261

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/23/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		01035629	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000686566	OTHER	INDIANA	ANTHEM
2	100138260	MEDICAID	INDIANA
3	M400033114	MEDICARE PIN	INDIANA
4	220520B	MEDICARE PIN	INDIANA
5	220520B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
6	3133880	MEDICAID	OHIO

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

NPI Synchronization or Removal

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