Northwest ENT, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35083442L Issued in OH

Legal business name

NORTHWEST ENT, INC.

Doing business as

Fred R. Leess, M.D.

Practice address

498 London Ave
Ste. G
Marysville, OH 43040-5512

Phone

(937) 578-4300

Fax

(937) 578-4311

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred R. Leess, MDNPI 1790768216

Title

President

Phone

(937) 578-4300

Specialties & licenses 1

Addresses

Other names 1

• Fred R. Leess, M.D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred R Leess, MD

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1790768216
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518175348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 LONDON AVE",
            "address_2": "STE. G",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 LONDON AVE",
            "address_2": "STE. G",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEESS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-578-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35083442L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred R. Leess, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Krystal Renay Null, LSW
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• Gloria Nyamekye
• Ava Caitlin O'Brien
• Jessica Lynn O'Kane, DPT, ATC

• Otolaryngology Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.