DR. EDWARD CHARLES LEITHEAD IV MD, MBS
NPI 1184466294
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Edward Leithead's NPI number?

The NPI number for Edward Leithead is 1184466294. It was assigned to this individual provider in the NPPES registry on June 10, 2024. The provider is also known as Teddy Leithead.

Q: What is Edward Leithead's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Leithead was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2024PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4741(401) 444-4445 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edward Charles Leithead Iv Md, Mbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD CHARLES LEITHEAD IV MD, MBS (NPI 1184466294) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP06367) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184466294

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. EDWARD CHARLES LEITHEAD IVCredential: MD, MBS

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-4741 · Fax (401) 444-4445

Phone(401) 444-4741

Fax(401) 444-4445

Sole ProprietorNo

Enumeration DateJune 10, 2024

NPPES CertifiedJune 10, 2024

✔ NPI 1184466294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · LP06367

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

593 EDDY ST, Providence, RI 02903

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Other Names 1

Other Name (5)Teddy Leithead

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Charles Leithead Iv Md, Mbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Leithead's NPI number?

The NPI number for Edward Leithead is 1184466294. It was assigned to this individual provider in the NPPES registry on June 10, 2024. The provider is also known as Teddy Leithead.

Where is Edward Leithead located?

Edward Leithead practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4741.

What is Edward Leithead's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edward Leithead enrolled in Medicare?

Yes. Edward Leithead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Leithead was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.