Mary C Leemputte, MD
Pain Medicine, Interventional Pain Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1043673320
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1043673320
- Entity type
- Individual (NPI-1)
- Name
- Mary C Leemputte
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2016
- Certification date
- Oct 31, 2024
- Last updated
- Oct 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PAIN MANAGEMENT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 4301506723 | MI | Yes |
Practice location
1900 Wealthy St Se Ste 300Grand Rapids, MI 49506-2969
Phone 616-774-8345
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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