Active NPI
George Stanley Leisure, MD
- Anesthesiology Physician
- Charlottesville, VA
National Provider Identifier
1386757755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101048934
- Practice address
- 2331 Seminole LN Ste 201
Charlottesville, VA 22901-8319 - Phone
- (434) 293-4995
- Fax
- (434) 971-3434
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101048934 | VA | Primary |
Addresses
Primary practice location
2331 Seminole LN Ste 201
Charlottesville, VA 22901-8319
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
459 Locust Ave
Martha Jefferson Hospital
Charlottesville, VA 22902
Phone (302) 709-4497
Other practice location 2
1215 Lee St
Charlottesville, VA 22908-8319
Phone (434) 924-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1386757755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 SEMINOLE LN STE 201",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018319",
"telephone_number": "434-293-4995",
"fax_number": "434-971-3434"
}
],
"practiceLocations": [
{
"address_1": "459 Locust Ave",
"address_2": "Martha Jefferson Hospital",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22902",
"country_code": "US",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229088319",
"country_code": "US",
"telephone_number": "434-924-0211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISURE",
"first_name": "GEORGE",
"middle_name": "STANLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101048934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.