Provider Demographics
NPI:1457318974
Name:JANCHAR, LEONARD J (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:J
Last Name:JANCHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-3964
Mailing Address - Country:US
Mailing Address - Phone:740-387-6520
Mailing Address - Fax:
Practice Address - Street 1:181 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302
Practice Address - Country:US
Practice Address - Phone:740-383-7927
Practice Address - Fax:740-383-7942
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.033560208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0308027Medicaid
311098079050OtherCIGNA
OH000000118405OtherANTHEM
1200718OtherUHC
353077OtherSUMITTER NO
370002220OtherTRAVELERS MEDICARE
634337OtherAETNA
OH0308027Medicaid
OH000000118405OtherANTHEM
353077OtherSUMITTER NO
311098079OtherPPO NEXT