Dr. John Leicham , MD
Specialist • Modesto, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Leicham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Leicham, MD was a registered Specialist practicing in Modesto, CA. Throughout an active medical career spanning 16 years, Dr. Leicham provided care at the practice location at 200 GREENWICH LN until profile deactivation on 2022-06-09.
Practice Location & Contact Primary Location
200 Greenwich Ln
Modesto, CA 953501461
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Modesto, CA
Practicing in Modesto, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
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Record deactivated on June 09, 2022
NPI status registered as active in NPPES database
Registered at 200 GREENWICH LN, MODESTO, CA 953501461 (Tel: 2095242306)
Registered at 200 GREENWICH LN, MODESTO, CA 953501461 (Tel: 2095242306)
Recorded as JOHN LEICHAM, MD
Specialist (License #A21692 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
200 Greenwich Ln
Modesto, CA 953501461
Phone: 2095242306
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