Individual
JOSEPH SCOTT LEITHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 INDIAN RIPPLE ROAD, STE 210, BEAVERCREEK, OH 45440
(937) 427-9202
(937) 427-9671
Mailing address
4235 INDIAN RIPPLE ROAD, STE 210, BEAVERCREEK, OH 45440
(937) 427-9202
(937) 427-9671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000012299Z
ANTHEM
—
01
—
0122804
UNITED HEALTH CARE
—
05
—
0248397
—
OH
01
—
080162406
MEDICARE RAILROAD
OH
01
—
311715256001
TRICARE
—
01
—
311715256026
CARESOURCE
—
01
—
D70285
CHOICE CARE
—
01
—
DB1884
MEDICARE PALMETTO GBA
OH
01
—
OC04048
NATIONWIDE
—
Enumeration date
08/31/2006
Last updated
07/01/2014
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