Provider Demographics
NPI:1275644239
Name:LEAHMAN, COURTENAY ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:COURTENAY
Middle Name:ELIZABETH
Last Name:LEAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:COURTENAY
Other - Middle Name:ELIZABETH
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:ANESTHESIOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-9160
Practice Address - Fax:804-828-8300
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236901207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010093163Medicaid
VA005423M42Medicare ID - Type UnspecifiedC03042