Provider Demographics
NPI:1639102056
Name:LEAMING, ERIC STEWART (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:STEWART
Last Name:LEAMING
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 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3125 S SCATTERFIELD RD STE 300
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-1803
Practice Address - Country:US
Practice Address - Phone:765-298-4311
Practice Address - Fax:765-298-4312
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027806207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000764712OtherANTHEM
INP01133612OtherMEDICARE RAILROAD
IN100077050Medicaid
IND94492Medicare UPIN
IN100077050Medicaid
INM400071931Medicare PIN