Provider Demographics
NPI:1467423681
Name:LEVERICH, JOY DAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:DAWN
Last Name:LEVERICH
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 1:1552 N LIMESTONE ST
Mailing Address - Street 2:STE C
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-4750
Mailing Address - Country:US
Mailing Address - Phone:937-382-8500
Mailing Address - Fax:937-382-5814
Practice Address - Street 1:600 N PICKAWAY ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1447
Practice Address - Country:US
Practice Address - Phone:740-420-8365
Practice Address - Fax:740-420-8340
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35066844208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0970230Medicaid
OH0970230Medicaid
OHLE0761982Medicare PIN