Jason E Leedy MD LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

35085266 Issued in OH

Legal business name

JASON E LEEDY MD LLC

Practice address

2060 Lander Rd
Mayfield HTS, OH 44124-4100

Phone

(440) 461-6100

Fax

(440) 461-1440

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Jason E Leedy, MDNPI 1154416857

Title

Physician Owner

Phone

(440) 461-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason E Leedy, MD

  • Plastic and Reconstructive Surgery Physician
  • Mayfield Heights, OH
  • NPI 1154416857
  Medicare reassignment Care Compare group Authorized official
• Emily Christina Wirtz

  • Plastic Surgery Physician
  • Mayfield Heights, OH
  • NPI 1962858126
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1346319092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LANDER RD",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244100",
            "telephone_number": "440-461-6100",
            "fax_number": "440-461-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LANDER RD",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244100",
            "telephone_number": "440-461-6100",
            "fax_number": "440-461-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON E LEEDY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "LEEDY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "440-461-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35085266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isam Ibrahim
• Avrum G Jacobs, M.D.
• Ann F Jacobson, PHD,RN,CNS, ACNS-BC
• Sam S Jaffe
• Lisa Mia Jamison
• Roy Dale Jennings
• Jatinderpal Johal
• K a G Design
• Leonard A Kahn, M.D
• Charles John Kalinsky, DDS

• Plastic and Reconstructive Surgery Physician in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.