Active NPI
Wayne N Leeves, MD
- General Practice Physician
- Longview, TX
National Provider Identifier
1780662643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E8657
- Practice address
- 4002 Technology Ctr
Longview, TX 75605-2697 - Phone
- (903) 247-0484
- Fax
- (903) 247-0485
- NPI assigned
- Jan 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | E8657 | TX | Primary |
Addresses
Primary practice location
4002 Technology Ctr
Longview, TX 75605-2697
Mailing address
323 N Fannin
Tyler, TX 75702-7321
Phone (903) 531-9835
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Past | 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, 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": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1780662643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N FANNIN",
"city": "TYLER",
"state": "TX",
"postal_code": "757027321",
"telephone_number": "903-531-9835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 TECHNOLOGY CTR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052697",
"telephone_number": "903-247-0484",
"fax_number": "903-247-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEVES",
"first_name": "WAYNE",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-02",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "E8657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.