CONSTANCE LEAHY MD NPI 1164477204

NPI Information

  • NPI: 1164477204
  • Provider Name: CONSTANCE LEAHY, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 309 JEFFERSON AVE SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 685-8750

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NPI Details

Constance Leahy, MD is an obstetrics gynecology in Grand Rapids, MI with 33 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Constance Leahy, MD NPI is 1164477204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

309 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-503
Phone: (616) 685-8750
Fax: (616) 685-8002

The NPI 1164477204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/29/2009.

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
1207V00000XObstetrics & Gynecology4301061615MICHIGANYes

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
14893290MEDICAIDMICHIGAN
2G60146MEDICARE UPINMICHIGAN
3M02830106MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
4M69390060MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
53371147MEDICAIDMICHIGAN
6P32930089MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
74110726MEDICAIDMICHIGAN

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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