Active NPI
Maria G Leahy, PA-C
- Physician Assistant
- State College, PA
National Provider Identifier
1619931995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA052035
- Practice address
- 101 Regent CT
State College, PA 16801-7965 - Phone
- (814) 231-2101
- Fax
- (814) 231-8569
- NPI assigned
- Apr 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA052035 | PA | Primary |
Addresses
Primary practice location
101 Regent CT
State College, PA 16801-7965
Mailing address
101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA052035 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1619931995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 REGENT CT",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017965",
"telephone_number": "814-231-2101",
"fax_number": "814-231-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 REGENT CT",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017965",
"telephone_number": "814-231-2101",
"fax_number": "814-231-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAHY",
"first_name": "MARIA",
"middle_name": "G",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA052035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.