Individual provider Active NPI

Leah Suzanne Willing, DO

  • Emergency Medicine Physician
  • Huntington, WV
National Provider Identifier
1790279255
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3708 Issued in WV
Practice address
2900 1St Ave
Huntington, WV 25702-1241
Phone
(304) 526-1234
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3708 WV
Emergency Medicine Physician 207P00000X 3708 WV Primary

Addresses

Primary practice location

2900 1St Ave
Huntington, WV 25702-1241

Mailing address

1414 Charleston Ave
Unit a
Huntington, WV 25701-1240
Phone (757) 784-6978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221115003241 WV Practitioner - Family Practice 3072981463 Reassigns benefits to 2 organizations
I20230207001554 OH Practitioner - Family Practice 3072981463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3708WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1790279255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CHARLESTON AVE",
            "address_2": "UNIT A",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011240",
            "telephone_number": "757-784-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-526-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLING",
        "first_name": "LEAH",
        "middle_name": "SUZANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3708",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.