Richard J Leahy, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R8J43 Issued in MO

Practice address

1600 Heritage LNDG
Ste 215
Saint Peters, MO 63303-8489

Phone

(636) 939-4200

Fax

(636) 939-4204

NPI assigned

Feb 13, 2006

Last updated

May 24, 2016By the provider in NPPES

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

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pemiscot County Memorial Hospital

  dba Pemiscot Interventional Pain Center

  • Clinic/Center
  • Hayti, MO
  • NPI 1386807675

  Family Medicine

  NPD (past)
• Salem Memorial Hospital

  • Critical Access Hospital
  • Salem, MO
  • NPI 1639177561
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1114991643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 AUTUMN WOOD DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG",
            "address_2": "STE 215",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038489",
            "telephone_number": "636-939-4200",
            "fax_number": "636-939-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Michael Lawler, PT
• Lawrence S Tierney MD PC
• Alison N Lawson, MPT
• Meagan Jean Lawson, CCC-SLP
• Aaron M Laxton, LCSW
• Leaps and Bounds, Inc.
• Learning Consultants-St. Charles
• Jerry Dale Leech Jr., DC
• Haleigh Left Hand, MSW
• Legacy Healthcare

• Family Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.