W Hugh Leedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3333 Issued in ID

Practice address

1327 Superior St
Sandpoint, ID 83864-1735

Phone

(208) 263-1718

Fax

(208) 263-7198

NPI assigned

Jun 30, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1326045865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 COMANCHE ST",
            "address_2": "PO BOX Q",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057523",
            "telephone_number": "208-267-1718",
            "fax_number": "208-267-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641735",
            "telephone_number": "208-263-1718",
            "fax_number": "208-263-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "W",
        "middle_name": "HUGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002792400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806590100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.