Individual provider Active NPI

William Neil Leifer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wakarusa, KS
National Provider Identifier
1053682559
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
BL8936948 Issued in KS
Practice address
9500 SW Jordan Rd
Wakarusa, KS 66546-9324
Phone
(785) 836-2531
Fax
(866) 871-7839
NPI assigned
Jan 16, 2012
Last updated
Jan 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X BL8936948 KS Primary

Addresses

Primary practice location

9500 SW Jordan Rd
Wakarusa, KS 66546-9324

Mailing address

9500 SW Jordan Rd
Wakarusa, KS 66546-9324
Phone (785) 836-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 1, 2015 through Dec 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BL8936948KSMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1053682559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SW JORDAN RD",
            "city": "WAKARUSA",
            "state": "KS",
            "postal_code": "665469324",
            "telephone_number": "785-836-2531",
            "fax_number": "866-871-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 SW JORDAN RD",
            "city": "WAKARUSA",
            "state": "KS",
            "postal_code": "665469324",
            "telephone_number": "785-836-2531",
            "fax_number": "866-871-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "WILLIAM",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "BL8936948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakarusa, KS

Sources for this page

Verify at the official NPI Registry.