Fred R Leess, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35083442L Issued in OH

Practice address

140 Colemans Xing
Marysville, OH 43040-7080

Phone

(937) 578-4300

Fax

(937) 578-4311

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northwest ENT, Inc.

  • Otolaryngology Physician
  • Marysville, OH
  • NPI 1518175348
  NPD (past) Authorized official

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1790768216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLEMANS XING",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407080",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLEMANS XING",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407080",
            "telephone_number": "937-578-4300",
            "fax_number": "937-578-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Colemans Xing",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407068",
            "country_code": "US",
            "telephone_number": "937-578-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEESS",
        "first_name": "FRED",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35083442L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2450771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lavelle, LISW
• Le-Truong Dental 1, Inc.
• Robert Lee, MD
• Blake Leeds, DO
• Leesburg Township Trustees
• Olivia Lemaster, APRN.CNP
• Theresa Lent, RN
• Patricia Lentz
• Tina S Levan, REGISTERED NURSE
• Lauren Adele Levingston, LSW

• Otolaryngology Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.