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Active NPI 1831472067 Individual Practitioner Male Practitioner

Timothy Michael Leicht , PA-C

Physician Assistant • Clinton Twp, MI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Timothy Leicht, PA-C is a registered Physician Assistant practitioner in Clinton Twp, MI. With approximately 15 years of clinical practice since completing medical education in 2011, Timothy Leicht provides healthcare services at the registered practice location at 15855 19 MILE RD.

Timothy Leicht maintains professional affiliations with Beaumont Medical Group- Specialty Services, Iha Olma Specialty Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

15855 19 Mile Rd

Clinton Twp, MI 480383504

Telephone 8006536568
Fax 3138761305
Associated Practice Facility / Clinic
🏢 Fedor Opochinsky M.d. Facility NPI 1134155740

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clinton Twp, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +5.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Clinton Twp, MI (7057 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leicht (15 Years) 15 Yrs
Clinton Twp Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601007605

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA055110

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License PA MA055110

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License PA MA055110

Definition to come...

Hospital & Practice Group Affiliations

Iha Olma Specialty Services Llc

5315 Elliott Dr, Ypsilanti, MI 481978634

Phone: 2482877820

Iha Olma Specialty Services Llc

44405 Woodward Ave, Pontiac, MI 483415023

Phone: 2488582270

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Beaumont Medical Group- Specialty Services

18101 Oakwood Blvd, Dearborn, MI 481244089

Secondary Practice Locations

3601 W 13 Mile Rd

Royal Oak, MI 480736712

Phone: 2488984021

44201 Dequindre Rd

Troy, MI 480851117

Phone: 2489648432

44555 Woodward Ave Ste 506

Pontiac, MI 483415039

Phone: 2488583850

18101 Oakwood Blvd

Dearborn, MI 481244089

Phone: 3135937000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Terri Ladwig , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003066218

ACNPBC

Maria Diab

Internal Medicine - Hematology

NPI 1003259045
Amber Marroquin , NNP-BC

Nurse Practitioner - Neonatal

NPI 1003464181

NNPBC

Dr. Rima Rida , MD

Internal Medicine

NPI 1003473331

Doctor of Medicine (M.D.)

Nazila Azordegan

Pathology - Anatomic Pathology

NPI 1003589656
Sayedul Islam

Specialist/Technologist, Other - Surgical Assistant

NPI 1003651167

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2024

Physician Assistant (License #MA055110 in PA)

📍
Updated Practice Location March 31, 2022

Registered at 15855 19 MILE RD, CLINTON TWP, MI 480383504 (Tel: 8006536568)

📍
Updated Business Mailing Address March 31, 2022

Registered at 15855 19 MILE RD, CLINTON TWP, MI 480383504 (Tel: 8006536568)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2022

Physician Assistant (License #MA055110 in PA)

NPI Profile Active September 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2011

Registered at 335 RADCLIFFE ST., PHYSICIAN ASSISTANT SURGICAL ASSOCIATES, LLC, BRISTOL, PA 19007 (Tel: 2155898718)

📍
Updated Business Mailing Address September 23, 2011

Registered at 7300 JOHNSON FARM LN, APT 217, CHADDS FORD, PA 193179076 (Tel: 4844339161)

👤
Provider Name / Credentials Updated September 23, 2011

Recorded as TIMOTHY LEICHT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2011

Physician Assistant (License #MA055110 in PA)

🟢
Initial NPI Registration & Enumeration September 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831472067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2011
Last Update: December 11, 2025
Sole Proprietor: No

Mailing Address

15855 19 Mile Rd

Clinton Twp, MI 480383504

Phone: 8006536568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.