Provider Demographics
NPI:1932155819
Name:SALTZMAN, LEONARD DAVID (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:DAVID
Last Name:SALTZMAN
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 1:1420 US 52 N STE G
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-2622
Mailing Address - Country:US
Mailing Address - Phone:704-982-9877
Mailing Address - Fax:704-982-7618
Practice Address - Street 1:1420 US 52 N
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-2622
Practice Address - Country:US
Practice Address - Phone:704-982-9877
Practice Address - Fax:704-982-7618
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501081208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1932155819Medicaid
NC7974363Medicaid
NC2211275AMedicare PIN
NC2211275Medicare PIN
NC2211275BMedicare PIN
NC7974363Medicaid
NCNC4724BMedicare PIN
NCG08309Medicare UPIN