Leah Terese Pieczynski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085001895 Issued in IL

Practice address

716 Elm St
Suite 2
Winnetka, IL 60093-2556

Phone

(847) 501-4040

Fax

(847) 501-4075

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elm Street Pediatrics

  • Specialist
  • Winnetka, IL
  • NPI 1033124714
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1427361740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ELM ST",
            "address_2": "SUITE 2",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932556",
            "telephone_number": "847-501-4040",
            "fax_number": "847-501-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 ELM ST",
            "address_2": "SUITE 2",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932556",
            "telephone_number": "847-501-4040",
            "fax_number": "847-501-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZYNSKI",
        "first_name": "LEAH",
        "middle_name": "TERESE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085001895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Ann Ogden, RPH
• Dimple Patel, MPT
• Patrick Brady DMD Ms PC
• Patrick W. Logan, MD
• Perspective Eyes LLC
• Gioia Gabriella Pirrello, PSY.D.
• James Dean Pollock, M.D.
• Ronald Byron Port, M. D.
• Carole P. Prete, MD
• Gabriela Weronika Proszowska, PT

• Medical Physician Assistant in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.