Individual provider Active NPI

Preston J Lehr, PA-C

  • Physician Assistant
  • Edmonds, WA
National Provider Identifier
1710176508
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10005319 Issued in WA
Practice address
21600 Highway 99
Suite 280
Edmonds, WA 98026-8012
Phone
(425) 774-2616
Fax
(425) 774-2660
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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 PA10005319 WA Primary

Addresses

Primary practice location

21600 Highway 99
Suite 280
Edmonds, WA 98026-8012

Mailing address

21600 Highway 99
Suite 280
Edmonds, WA 98026-8012
Phone (425) 774-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20071114000152 WA Practitioner - Physician Assistant 0648368365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

21727 76TH Ave W
Edmonds, WA 98026-7549

4407 Fairmont Ave
Port Angeles, WA 98363-9514
Phone (503) 362-8385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10005319WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Health Association CurrentSince Oct 15, 2007 Accepting new patients
Columbia Basin Health Association CurrentSince Oct 15, 2007 Accepting new patients
Silver Falls Dermatology, LLC Physician Assistant CurrentSince Apr 1, 2021 Accepting new patients

Locations

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

21727 76th Ave W
Ste H
Edmonds, WA 98026
Phone (425) 672-1333

21701 76th Ave W
Ste 302
Edmonds, WA 98026
Phone (425) 502-5427

21701 76th Ave W
Ste 100
Edmonds, WA 98026
Phone (206) 525-1168

21727 76th Ave W
Ste F
Edmonds, WA 98026
Phone (425) 778-7546

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

3216 NE 45th Pl
Ste 203
Seattle, WA 98105
Phone (206) 525-1168

Interoperability endpoints

  • Direct secure messaging: plehr@frontierdermpartners.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1710176508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99",
            "address_2": "SUITE 280",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268012",
            "telephone_number": "425-774-2616",
            "fax_number": "425-774-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99",
            "address_2": "SUITE 280",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268012",
            "telephone_number": "425-774-2616",
            "fax_number": "425-774-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHR",
        "first_name": "PRESTON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.