Frederick D Leist, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD00010979 Issued in WA

Practice address

2600 Cherry Avenue
Suite 201
Bremerton, WA 98310

Phone

(360) 479-4370

Fax

(360) 792-1166

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick D Leist MD Inc PS

  • Specialist
  • Bremerton, WA
  • NPI 1609068352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1013044254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CHERRY AVENUE",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-479-4370",
            "fax_number": "360-792-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CHERRY AVENUE",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-479-4370",
            "fax_number": "360-792-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIST",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00010979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Lee
• Paxton Lee
• Theodore Tak Lee, D.D.S.
• Jersie Lefever
• Zachary Blaine Lehner
• Madyson Leith
• Debra Lynn Lemieux, CMA
• Michelle Anne Lemieux
• Elexis Mariea Lemon
• Elona R. Lenhart, M.H.

• Plastic and Reconstructive Surgery Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.