Active NPI
Leigh A Gaines, M.D.
- Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1396782454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35076854
- Practice address
- 909 Vine St
Cincinnati, OH 45202-1105 - Phone
- (513) 861-3100
- NPI assigned
- May 31, 2006
- Last updated
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37401 | KY | |
| Psychiatry Physician | 2084P0800X | 35076854 | OH | Primary |
| Psychiatry Physician | 2084P0800X | 37401 | KY |
Addresses
Primary practice location
909 Vine St
Cincinnati, OH 45202-1105
Mailing address
3200 Vine St
Cincinnati, OH 45220-2213
Phone (513) 861-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64052939 | Medicaid | KY | |
| 080189334 | Other | KY | RAILROAD MEDICARE |
| 2312152 | Medicaid | OH |
Other names 1
- Leigh Annis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35076854 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Professional Services | Psychiatry | Past | Accepting new patients |
| Cincinnati Health Care Group PSC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Cincinnati, OH
- NPI 1447343306
-
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- Crestview Hills, KY
- NPI 1881616357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1396782454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-861-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021105",
"telephone_number": "513-861-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "LEIGH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "37401",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35076854",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "37401",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64052939",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080189334",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2312152",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEIGH",
"last_name": "ANNIS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.