Individual provider Active NPI

Leora Lynn Kohler, LSA

  • Surgical Physician Assistant
  • Rowlett, TX
National Provider Identifier
1053647768
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1901 Miller Rd
Rowlett, TX 75088-5604
Phone
(214) 227-2457
NPI assigned
Oct 30, 2009
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary
Surgical Assistant 246ZC0007X 09-268 TX
Surgical Technologist 246ZS0410X 09-268 IL
Surgical Technologist 246ZS0410X 09-268 TX

Addresses

Primary practice location

1901 Miller Rd
Rowlett, TX 75088-5604

Mailing address

PO Box 492
Wylie, TX 75098-0492
Phone (972) 442-9065

Other practice location 1

226 Lake Texoma Dr
Wylie, TX 75098-4872
Phone (630) 222-1376

Other names 1

  • Leora Benesh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09-268ILMDSurgical Technologist
09-268TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kohler First Assistants, Inc. Surgical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1053647768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980492",
            "telephone_number": "972-442-9065",
            "fax_number": "972-442-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MILLER RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885604",
            "telephone_number": "214-227-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Lake Texoma Dr",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750984872",
            "country_code": "US",
            "telephone_number": "630-222-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "LEORA",
        "middle_name": "LYNN",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "09-268",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "09-268",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "09-268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEORA",
            "last_name": "BENESH",
            "credential": "SA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.