Provider Demographics
NPI:1205802600
Name:LEAMING, ROSALIND D (MD)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:D
Last Name:LEAMING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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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
Practice Address - Street 2:SUITE 310
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-1801
Practice Address - Country:US
Practice Address - Phone:317-621-1006
Practice Address - Fax:317-355-6822
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01030305A207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00966918OtherRR MEDICARE
IN000000701134OtherANTHEM
IN200149640Medicaid
IN000000342150OtherANTHEM
INP01678718OtherMEDICARE RR
INP00966918OtherRR MEDICARE
IN200149640Medicaid
INP01678718OtherMEDICARE RR