Provider Demographics
NPI:1346266905
Name:LEEMING, ROSEMARY A (MD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:A
Last Name:LEEMING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-2170
Practice Address - Country:US
Practice Address - Phone:570-271-6361
Practice Address - Fax:570-271-5785
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD450582208600000X, 2086X0206X
OH35-053419208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH363753OtherWELLCARE
PA1028874560001Medicaid
OH738073OtherBUCKEYE
OH000000221412OtherUNISON
4113931OtherAETNA
OHP00372954OtherRAILROAD MEDICARE
OH0660842Medicaid
OHP00147819OtherRAILROAD MEDICARE
000000503708OtherANTHEM
PA1028874560001Medicaid
OHLE0598368Medicare PIN
E76722Medicare UPIN