Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glenn Ralph Leavitt, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1386644318

Dr. Glenn Ralph Leavitt, DO is an Obstetrics/Gynecology in Idaho Falls, Idaho. Graduated from University of New England, College of Osteo Medicine in 2001, 25 years ago. Practices with Leavitt Womens Healthcare Corp PC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
25
Trained at
University of New England, College of Osteo Medicine
Licensed in
ID
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1550 Elk Crk
Idaho Falls, ID 83404-8322
Phone: (208) 529-5942
Fax: (208) 529-5951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence O-0365 (ID)

Record details

NPI number1386644318
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 1, 2005
Last updated in NPPESMarch 1, 2012
Mailing address1550 Elk Crk, Idaho Falls, ID 83404-8322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2001 (25 years in practice)
Group practice Leavitt Womens Healthcare Corp.Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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