J. W, Leisy M.D.P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14574 Issued in KS

Legal business name

J. W, LEISY M.D.P.A.

Practice address

3310 East Douglas #101
Wichita, KS 67208

Phone

(316) 681-2937

Fax

(316) 681-1262

NPI assigned

May 16, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerald W Leisy, M.D. P.A.NPI 1275605586

Title

President

Phone

(316) 681-2937

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerald W Leisy, M.D. P.A.

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1275605586
  Authorized official Same address or phone

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1437418019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EAST DOUGLAS #101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-681-2937",
            "fax_number": "316-681-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 EAST DOUGLAS #101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-681-2937",
            "fax_number": "316-681-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. W, LEISY M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "LEISY",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-681-2937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Izzo
• J & D Healthcare Services
• J R Henwood M.D.PA
• J. Greg Holm D.D.S.,P.a.
• J. Oldham, Lscsw, P.a.
• Sadiya Jahan Jaba
• Angela Marie Jabara, APRN
• Cheryl R Jabara, PT
• Rebecca Lynn Jabara, LCP LMLP
• Dawne Adams Jabben, MD

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.