Liesel E.a. Leedy MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

J4308 Issued in TX

Legal business name

LIESEL E.A. LEEDY MD PA

Practice address

1204 N Mound St
Nacogdoches, TX 75961-4027

Phone

(936) 564-4611

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Liesel E.a. Leedy, MD

Title

President

Phone

(936) 462-7844

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyle L. Brown, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
  • NPI 1467477729
  NPD (past)
• Richard Sean Omsberg, PA

  • Physician Assistant
  • Austin, TX
  • NPI 1366569402
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1043490188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635151",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759635151",
            "telephone_number": "936-462-7844",
            "fax_number": "936-462-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-564-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIESEL E.A. LEEDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "LEEDY",
        "authorized_official_first_name": "LIESEL",
        "authorized_official_middle_name": "E.A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-462-7844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J4308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179619501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0052NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Lehmann, M.D.
• Michelle Kristen Leone, FNP-C
• Harold R Levine II, M.D.
• Chelsea Lewis, RDMS, RVT
• Kathryn Marie Lewis, M.D.
• Lifecare Home Nursing, LLC (LifeCare Respiratory & Medical Supply)
• Linda Marie Motherwell (motherwell home health profssionals)
• Linda Millican Counseling PLLC
• Carey Jynette Lindemann, M.D.
• Lindsay a Aldrich MD PA

• Anesthesiology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.