Organization Active NPI

Tony W. Leung, M.D. LLC

  • Nephrology Physician
  • Lake Charles, LA
National Provider Identifier
1306115175
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
07961R Issued in LA
Legal business name
TONY W. LEUNG, M.D. LLC
Practice address
105 Dr. Michael Debakey Drive
Lake Charles, LA 70606
Phone
(337) 497-0366
Fax
(337) 497-1367
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Tony W Leung, M.D.
Title
Owner
Phone
(337) 497-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 07961R LA Primary

Addresses

Primary practice location

105 Dr. Michael Debakey Drive
Lake Charles, LA 70606

Mailing address

P.O. Box 6574
Lake Charles, LA 70606
Phone (337) 497-0366

Other identifiers 1

IdentifierTypeStateIssuer
1386812MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1306115175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6574",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70606",
            "telephone_number": "337-497-0366",
            "fax_number": "337-497-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DR. MICHAEL DEBAKEY DRIVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70606",
            "telephone_number": "337-497-0366",
            "fax_number": "337-497-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY W. LEUNG, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-497-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "07961R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.