Provider Demographics
NPI:1881638914
Name:LEFFERS, JAMES II (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LEFFERS
Suffix:II
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 1:412 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-1426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:191 BEDFORD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3011
Practice Address - Country:US
Practice Address - Phone:508-235-5782
Practice Address - Fax:508-235-5786
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI11454207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B75280Medicare UPIN
MAK08332Medicare PIN
MAK0833202Medicare PIN
MA220020Medicare PIN
RI007057185Medicare PIN