Active NPI
Richard A Lease, RNFA
- Surgical Physician Assistant
- Gilbert, AZ
National Provider Identifier
1649229006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- RN 124747
- Practice address
- 2966 E Warbler Rd
Gilbert, AZ 85297-8145 - Phone
- (480) 223-3015
- Fax
- (480) 782-0299
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | RN 124747 | AZ | Primary |
Addresses
Primary practice location
2966 E Warbler Rd
Gilbert, AZ 85297-8145
Mailing address
PO Box 1533
Gilbert, AZ 85299-1533
Phone (480) 223-3015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0307990 | Other | AZ | BCBS AZ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 124747 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Rnfa, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Nurse First Assistant
- Gilbert, AZ
- NPI 1134719917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1649229006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1533",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991533",
"telephone_number": "480-223-3015",
"fax_number": "480-782-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2966 E WARBLER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978145",
"telephone_number": "480-223-3015",
"fax_number": "480-782-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASE",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2022-05-19",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "RN 124747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0307990",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.