Provider Demographics
NPI:1902931769
Name:ADKINS, LEAH MADERIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:MADERIA
Last Name:ADKINS
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 1:3600 OLENTANGY RIVER RD
Mailing Address - Street 2:SUITE 490
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3437
Mailing Address - Country:US
Mailing Address - Phone:614-459-1000
Mailing Address - Fax:614-459-1382
Practice Address - Street 1:3600 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 490
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3437
Practice Address - Country:US
Practice Address - Phone:614-459-1000
Practice Address - Fax:614-459-1382
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2769320Medicaid
OH2769320Medicaid