DR. ANNMARIE MCRENA LEDLEY D.O. NPI 1295731016

NPI Information

  • NPI: 1295731016
  • Provider Name: DR. ANNMARIE MCRENA LEDLEY, D.O.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 WESLEY ST
    GREENVILLE, TX
    ZIP 75401
  • Phone: (903) 455-5986

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NPI Details

DR. Annmarie Mcrena Ledley, D.O. is a specialist in Greenville, TX with 33 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Annmarie Mcrena Ledley, D.O. NPI is 1295731016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1993

The provider's business location address is:

4500 WESLEY ST
GREENVILLE, TX
ZIP 75401-644
Phone: (903) 455-5986
Fax: (903) 454-4621

The NPI 1295731016 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 6/27/2005 and was last updated on 4/10/2012.

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 & GynecologyOS013698PENNSYLVANIANo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryK6640TEXASNo
3174400000XSpecialistK6640TEXASYes

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
1OS013698OTHERPENNSYLVANIAMEDICAL LICENSE NUMBER
21018018780001MEDICAIDPENNSYLVANIA
3104251M02MEDICARE PINPENNSYLVANIA
4G83166MEDICARE UPINTEXAS
500255RMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE
6092276701MEDICAIDTEXAS
7K6640OTHERTEXASSTATE LICENSE NUMBER

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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