Organization Active NPI

William M McLeish, MD, LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1477590297
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
25606 Issued in AZ
Legal business name
WILLIAM M MCLEISH, MD, LLC
Practice address
1331 N 7TH St
Suite290
Phoenix, AZ 85006-2754
Phone
(602) 230-6744
Fax
(480) 315-8802
NPI assigned
Jun 1, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Elizabeth Kilpatrick
Title
Office Manager
Phone
(480) 720-6706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 25606 AZ Primary

Addresses

Primary practice location

1331 N 7TH St
Suite290
Phoenix, AZ 85006-2754

Mailing address

10645 N Tatum Blvd
Suite200-406
Phoenix, AZ 85028-3068
Phone (480) 720-6706

Other identifiers 1

IdentifierTypeStateIssuer
393017MedicaidAZ

National Provider Directory

National Provider Directory

Locations

18301 N 79th Ave
Ste H192
Glendale, AZ 85308
Phone (480) 945-2475

3501 N Scottsdale Rd
Ste 326
Scottsdale, AZ 85251
Phone (480) 949-5990

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1477590297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "SUITE200-406",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "480-720-6706",
            "fax_number": "480-315-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-230-6744",
            "fax_number": "480-315-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M MCLEISH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-720-6706"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "25606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393017",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.