Active NPI
Stephanie Ann McLeish, M.D.
- Dermatology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 119435
- Practice address
- 3841 Piper St Ste T4-020
Anchorage, AK 99508-4673 - Phone
- (907) 646-8500
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 119435 | AK | Primary |
Addresses
Primary practice location
3841 Piper St Ste T4-020
Anchorage, AK 99508-4673
Mailing address
2440 E Tudor Rd
Anchorage, AK 99507-1185
Phone (830) 730-0680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, AZ, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of South Florida College of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6160 Kempsville Cir
Suite 200a
Norfolk, VA 23502-3914
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 73 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Thomas Dermatology | Dermatology | Current | Accepting new patients |
| Douglas a. Thomas, MD | Dermatology | Past | Accepting new patients |
Locations
3841 Piper St
Ste 20
Anchorage, AK 99508
Phone (907) 646-8500
3841 Piper St
Anchorage, AK 99508
Phone (907) 563-3103
3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500
1815 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-2888
1801 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (702) 430-5333
9097 W Post Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 430-5333
Interoperability endpoints
- smcleash@thomasderm.emadirect.md
Organizations & group practices 5
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.
-
- Dermatology Physician
- Anchorage, AK
- NPI 1124670088
-
- Dermatology Physician
- Norfolk, VA
- NPI 1417047952
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
- Dermatology Physician
- Las Vegas, NV
- NPI 1891897658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1104850460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071185",
"telephone_number": "830-730-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 PIPER ST STE T4-020",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084673",
"telephone_number": "907-646-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEISH",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AK",
"license": "119435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.