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

Last updated

Jun 25, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest ENT, Inc.

  dba Fred R. Leess, M.D.

  • 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": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lavelle, LISW
• Le-Truong Dental 1, Inc. (Premier Dental of Marysville)
• Robert Lee, MD
• Blake Leeds, DO
• Leesburg Township Trustees (Leesburg Township Fire Department)
• 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.