JEFFREY LEIDER MD PLLC NPI 1063788818

NPI Information

  • NPI: 1063788818
  • Provider Name: JEFFREY LEIDER MD PLLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: ONHEALTHCARE
  • Address: 35 AUGUSTA AVE
    FT WRIGHT, KY
    ZIP 41011
  • Phone: (248) 528-1981

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NPI Details

JEFFREY LEIDER MD PLLC is a geriatric medicine family medicine in Ft Wright, KY. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. JEFFREY LEIDER MD PLLC NPI is 1063788818. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Onhealthcare.

The provider's business location address is:

35 AUGUSTA AVE
FT WRIGHT, KY
ZIP 41011-603
Phone: (248) 528-1981
Fax: (248) 528-2963

The provider's authorized official is Jeffrey Leider .
The authorized official title is Clinical Director and has the following contact phone number (248) 528-1981.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100198660MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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