Individual provider Active NPI

Edward Leas, PA

  • Physician Assistant
  • Conrad, MT
National Provider Identifier
1619967601
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
388 Issued in MT
Practice address
805 Sunset Blvd
Conrad, MT 59425-1717
Phone
(406) 271-3211
Fax
(406) 271-3912
NPI assigned
Oct 21, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 388 MT Primary

Addresses

Primary practice location

805 Sunset Blvd
Conrad, MT 59425-1717

Mailing address

805 Sunset Blvd
P O Box 758
Conrad, MT 59425-0758
Phone (406) 271-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000715 MT Practitioner - Physician Assistant 4486627700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
388MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Conrad CurrentSince Oct 17, 2006 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619967601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "address_2": "P O BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251717",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAS",
        "first_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conrad, MT

Sources for this page

Verify at the official NPI Registry.