JASON E LEEDY MD NPI 1154416857

NPI Information

NPI: 1154416857
Provider Name: JASON E LEEDY, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2060 LANDER RD
MAYFIELD HEIGHTS, OH
ZIP 44124
Phone: (440) 461-6100
Get Directions

Jason E Leedy, MD is a plastic and reconstructive surgery surgery in Mayfield Heights, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jason E Leedy, MD NPI is 1154416857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2060 LANDER RD
MAYFIELD HEIGHTS, OH
ZIP 44124-100
Phone: (440) 461-6100
Fax: (440) 461-1440

The NPI 1154416857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/11/2019.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	35085266	OHIO	Yes

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
1	000000376503	OTHER	OHIO	ANTHEM BLUE SHIELD
2	R85266	OTHER	OHIO	SUMMACARE
3	2598916	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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